CPT Codes. Surgery. Surgical Procedures on the Male Genital System. Surgical Procedures on the Vas Deferens. Repair Procedures on the Vas Deferens. 55400. 55300. 55400. 55500.CPT Codes. Surgery. Surgical Procedures on the Female Genital System. Surgical Procedures on the Oviduct/Ovary. Excision Procedures on the Oviduct/Ovary. 58700. 58679. 58700. 58720.Features a unique bundling matrix, complete diagnosis codes, the latest fee schedules and more. Subscribe Now. American Urological Association 1000 Corporate Boulevard Linthicum, MD 21090 Phone: 410-689-3700 Toll-Free: 1-800-828-7866 Fax: 410-689-3800 Email: [email protected]. About AUA ... CPT code 55250 should be used when a vasectomy procedure is performed, regardless of whether it is done unilaterally or bilaterally. This code encompasses the entire procedure, including the postoperative semen examination(s) that may be performed. Enter a 5-character code (CPT, ADA, or HCPCS) This tool doesn't accept modifiers. Note: We review all non-specific and unlisted codes for medical necessity, even if they don't specifically relate to a medical policy. The code check tool isn't a guarantee of coverage since member contracts may differ in benefits. 2. Submit a prior authorization ...You may have options for where you have your outpatient procedure. Compare national average prices for procedures done in both. ambulatory surgical centers. and. hospital outpatient departments. You’ll see how much the patient pays with Original Medicare and no supplement (Medigap) policy. Search by procedure name or. code.The list also includes CPT (Current Procedural Terminology) codes, which are a set of standardized codes to describe identical medical services among different health care providers. Because everyone uses the same codes to indicate the same services, CPT codes make it easier for you to understand and compare costs. ... 55250 Vasectomy (not ...17 Aug 2015 ... CPT codes. 55250, 58565, 58600, 58605, 58611, 58615, 58670, 58671, 58700. Diagnosis restrictions. Restrictions apply. Age restrictions.55250 VASECTOMY. 850.00. $. 55200 INCISION OF SPERM DUCT. 1,036.00. $. Page 55 of 146. Page 56. CPT. Code CPT Code Description. Standard Fee. 55180 REVISION OF ...55250. CPT ® 55200, Under ... Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code. View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more.You are responsible for submission of accurate claims requests. This reimbursement policy is intended to ensure that you are reimbursed based on the code that correctly describes the procedure performed. This and other UnitedHealthcare reimbursement policies may use CPT, CMS or other coding methodologies from time to time.0. Mar 4, 2014. #3. I believe you do not have to indicate if you are doing the pos-vas semen analysis when billing for the procedure. A post-vas semen analysis is usually done after the procedure (one month, or more). And these are global to the procedure. You would not have to indicate a reduced service because you are not performing the semen ...CPT Codes. Surgery. Surgical Procedures on the Urinary System. Surgical Procedures on the Bladder. Vesical Neck and Prostate Surgical Procedures. 52500. 52450. 52500.Aug 24, 2018 · American Urological Association 1000 Corporate Boulevard Linthicum, MD 21090 Phone: 410-689-3700 Toll-Free: 1-800-828-7866 CPT code 55250 should be used when a vasectomy procedure is performed, regardless of whether it is done unilaterally or bilaterally. This code encompasses the entire procedure, including the postoperative semen examination(s) that may be performed. The average cost of a vasectomy was sourced using the Procedure Price Lookup tool on Medicare.gov using the Current Procedural Terminology (CPT) medical billing code 55250. Vasectomy reversal costs used the billing code 55400. Actual costs will vary based on your procedure and health insurance coverage.If the exam is unrelated to the other physician’s surgery, however, you can bill for the exam during the surgery’s global period. Keep in mind that you don’t necessarily need to append modifier -24. Although the call group serves as an extension of those physicians who are not on call, you are still billing under your own NPI.Current Procedure Terminology codes are available to members of and subscribers to the American Medical Association, which holds the trademark on CPT codes. Users of the AMA’s CPT ...Save up to 50% with a 1800 Flowers Promo Code. 24 verified 1800 Flowers Coupon today ! PCWorld’s coupon section is created with close supervision and involvement from the PCWorld d...877-578-6039. You can search the MPFS on the federal Medicare website to find out the Medicare reimbursement rate for specific services, treatments or devices. Simply enter the HCPCS code and click “Search fees” to view Medicare’s reimbursement rate for the given service or item. You may enter up to five codes at a time or a range of …Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code. View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more.1 — You can append modifier 50. 2 — The code already specifies a bilateral procedure, so you should not append modifier 50, LT or RT to denote a procedure’s bilateral nature. 3 — When performed bilaterally, append modifier 50 or LT/RT. Reimbursement is determined at 100 percent of the allowed for each side. Bilateral Procedure Indicator 0:CPT code 97110 provides information about medical procedures and services to payers and indicate that the procedure involves therapeutic exercises that develop endurance, range of ...CPT 55250 = Vasectomy (consult & post vasectomy semen analysis included) $1,248.00: Note: Price above is with self-pay/no insurance/cash only; no discount is available for this service. ... **Code = A4338 Foley catheter: $22.00 **Code = A4352 Straight catheter: $17.00 **Code = A4358 Leg bag (all brands) $8.00 **Code = A4357 Bedside drainage …Know how to use CPT® Code 55450 through Codify CPT® codes Lookup Online Tools. Select. Code Sets; Indexes; Code Sets and Indexes; Tools; ... [QUOTE="sureshb, post: 279379, member: 191255"]Need difference between CPT code for the Vasectomy 55250 and the vasectomy ligation 55450.[/QUOTE] The 55250 is an open procedure, 55450 is …4. Coding the semen analysis. After the vasectomy, the semen must be tested for sperm. Otherwise, you wont know if some sperm are still left. Even though the vasectomy descriptor clearly includes post-vasectomy semen testing, it doesnt say how many tests need to be done, or how many the 55250 code includes. This Clinical Policy Bulletin addresses vasectomy procedures. Medical Necessity. Aetna considers vasectomy reversal medically necessary for the treatment of post-vasectomy pain syndrome if member has failed non-steroidal anti-inflammatory medications and local nerve blocks/steroid injections. Experimental and Investigational. See full list on codingahead.com If the exam is unrelated to the other physician’s surgery, however, you can bill for the exam during the surgery’s global period. Keep in mind that you don’t necessarily need to append modifier -24. Although the call group serves as an extension of those physicians who are not on call, you are still billing under your own NPI.CPT 55250 describes a surgical procedure involving the cutting and suturing of the vas deferens, either on one side or both sides. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples. 1. What is CPT Code 55250?Effective January 1, 2015. Surgery, Part 1 (10000-29999) Surgery, Part 2 (30000-49999) Surgery, Part 3 (50000-69999) Assistant Surgery Guide. Radiology. Pathology and Laboratory. Evaluation & Management, Medicine, …Oct 2, 2023 · Codify by AAPC helps you quickly and accurately select the CPT® codes you need to keep your claims on track. With Codify by AAPC cross-reference tools, you can check common code pairings. You also get CPT to ICD-10-CM, CPT to HCPCS, and CPT to Modifier crosswalks. Our NCCI Edit tool will help you prevent denials from Medicare’s National ... Enter a 5-character code (CPT, ADA, or HCPCS) This tool doesn't accept modifiers. Note: We review all non-specific and unlisted codes for medical necessity, even if they don't specifically relate to a medical policy. The code check tool isn't a guarantee of coverage since member contracts may differ in benefits. 2. Submit a prior authorization ...CPT / HCPCS Codes Referenced; Billing and Coding: Arthroscopic Lavage and Arthroscopic Debridement for Osteoarthritic Knees ... View coverage, coding and billing information for Positron Emission Tomography Scans Coverage defined by the SSA, NCD and CMS manuals, including contractor determined coding criteria. ... 55250, …Enter a 5-character code (CPT, ADA, or HCPCS) This tool doesn't accept modifiers. Note: We review all non-specific and unlisted codes for medical necessity, even if they don't specifically relate to a medical policy. The code check tool isn't a guarantee of coverage since member contracts may differ in benefits. 2. Submit a prior authorization ...Endovascular repair of iliac artery by deployment of an iliac branched endograft (CPT code 34717) Unilateral internal iliac stent graft placement (CPT 34717) is considered medically necessary if ALL of the following criteria are met: • individual is undergoing endovascular abdominal aortic aneurysm (AAA) repair at theStudy with Quizlet and memorize flashcards containing terms like True or False The correct code assignment for an arthrocentesis, ring finger of left hand is 20600-LT., True or False The correct code assignment for a closed reduction of fractured phalange, 5th digit, right foot is 28515-T9., True or False Bilateral maxillary sinusotomies is reported as 31020, no …If you've been looking to learn how to code, we can help you get started. Here are 4.5 lessons on the basics and extra resources to keep you going. If you've been looking to learn ...Per 2023 CPT/HCPCS updates, either the long or short description of CPT codes 64999 has been updated. 10/01/2021 R2 Added the diagnosis code G44.86 – Cervicogenic headache per the Annual ICD-10-CM Update effective 10/01/2021. 12/01/2019 R1 This article was converted to a Billing and Coding Article type and is to be used with …Policies. National Coverage Determination (NCD) Sterilization means any medical procedure, treatment or operation for the sole purpose of rendering an individual …CPT Codes. Surgery. Surgical Procedures on the Male Genital System. Surgical Procedures on the Scrotum. Incision Procedures on the Scrotum. 55110. 55100. 55110. 55120.55250 VASECTOMY, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE), INCLUDING. 100. 1. 55300 VASOTOMY FOR VASOGRAMS, SEMINAL VESICULOGRAMS, OR EPIDIDYMOGRAMS ...CPT Codes. Surgery. Surgical Procedures on the Urinary System. Surgical Procedures on the Bladder. Vesical Neck and Prostate Surgical Procedures. 52601. 52500. 52601. 52630.There is no ICD 9 CM Code for 55250.CPT Code 55250-Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s).You should report this as 55250 with no modifiers appended. Note: If column T includes a "9," the concept of bilateral surgery does not apply to that code. Therefore, you should never use modifier 50 or modifiers LT/RT in combination for that procedure. Such procedures are relatively uncommon in a urology practice.%PDF-1.5 %µµµµ 1 0 obj >>> endobj 2 0 obj > endobj 3 0 obj > endobj 4 0 obj >/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 5 0 R ...50592, Under Lithotripsy and Ablation Procedures on the Kidney. The Current Procedural Terminology (CPT ®) code 50592 as maintained by American Medical Association, is a medical procedural code under the range - Lithotripsy and Ablation Procedures on the Kidney.The Current Procedural Terminology (CPT ®) code 55250 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Vas Deferens. Subscribe to Codify by AAPC and get the code details in a flash.Endovascular repair of iliac artery by deployment of an iliac branched endograft (CPT code 34717) Unilateral internal iliac stent graft placement (CPT 34717) is considered medically necessary if ALL of the following criteria are met: • individual is undergoing endovascular abdominal aortic aneurysm (AAA) repair at theWhen the two services are performed by the same entity, the more appropriate code to use is 55250, “Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen ...13 résultats correspondent à votre recherche. Beaulieu en Argonne. 55250CPT Codes. Surgery. Surgical Procedures on the Female Genital System. Surgical Procedures on the Oviduct/Ovary. Excision Procedures on the Oviduct/Ovary. 58700. 58679. 58700. 58720.CPT 55250 describes a surgical procedure involving the cutting and suturing of the vas deferens, either on one side or both sides. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples. 1. What is CPT Code 55250?Mar 19, 2014 · 1 — You can append modifier 50. 2 — The code already specifies a bilateral procedure, so you should not append modifier 50, LT or RT to denote a procedure’s bilateral nature. 3 — When performed bilaterally, append modifier 50 or LT/RT. Reimbursement is determined at 100 percent of the allowed for each side. Bilateral Procedure Indicator 0: If you’ve read Lifehacker for more than five minutes, you probably know we have a ton of resources on how to learn to code. You’ll also know it’s still hard. Part of the problem is...17 Aug 2015 ... CPT codes. 55250, 58565, 58600, 58605, 58611, 58615, 58670, 58671, 58700. Diagnosis restrictions. Restrictions apply. Age restrictions.The CPT or HCPCS code is 55250. Then there’s the “no needle, no scalpel” vasectomy, where the physician uses a high-pressure jet injector to deliver the anesthesia. Special instruments are then used to punch a tiny hole in the scrotum rather than make a traditional incision, allowing access to cut or tie off the vas deferens in the same ...One example of a CPT code is for a no scalpel vasectomy. This procedure is a common form of male sterilization that does not require a scalpel for incision. The CPT code for this procedure is 55250, which indicates a surgical procedure on the vas deferens, the tube that carries sperm from the testicles. Using the correct CPT code is important ...In the healthcare industry, accurate coding is essential for proper billing and reimbursement. Two important coding systems used are CPT codes and diagnosis codes. These codes play...Image transcription text. Question 3 (Mandatory) (6 points) Relating to Vas Deferens (55200-55450): Using the. CPT and ICD-10-CM code books, assign code (s) for the following scenario: Patient is a. 36-year-old male presenting today …Image transcription text. Question 3 (Mandatory) (6 points) Relating to Vas Deferens (55200-55450): Using the. CPT and ICD-10-CM code books, assign code (s) for the following scenario: Patient is a. 36-year-old male presenting today …What are the CPT® and ICD-10-CM codes reported? CPT® Code: 55250 ICD-10-CM Code: Z30.2. 2 Rationales: CPT®: In the CPT® Index, look for Vasectomy directing you to 55250. The procedure was performed bilaterally, because the code description indicates unilateral or bilateral modifier 50 for bilateral is not appended to this code.Look up contracted rates of Commercial plans for CPT or HCPC codes, for a specific physician/healthcare professional name and product. Fee Schedule Lookup 1 Confirm the Insurance & Member Information 2 Confirm the Provider Information 3 Search for up to 5 Procedure CodesYou are responsible for submission of accurate claims requests. This reimbursement policy is intended to ensure that you are reimbursed based on the code that correctly describes the procedure performed. This and other UnitedHealthcare reimbursement policies may use CPT, CMS or other coding methodologies from time to time.Skipping the pre-vasectomy visit coding will cost your practice up to $180. ... report 55250 (Vasectomy, unilateral or bilateral [separate procedure], including postoperative semen examination[s]). There is no CPT® code for a laparoscopic vasectomy. However, when your urologist performs this procedure, most often at the …The CPT Code is 55250. If your deductible applies, generally you can expect your to be $700 to $800 (please note, this does not include pathology analysis or post-vasectomy semen analysis, both of which may also apply to your deductible). Additionally, please note the …You may have options for where you have your outpatient procedure. Compare national average prices for procedures done in both. ambulatory surgical centers. and. hospital outpatient departments. You’ll see how much the patient pays with Original Medicare and no supplement (Medigap) policy. Search by procedure name or. code.append CPT/HCPCS modifier to the procedure code: Extracapsular cataract extraction with insertion of lens, OS (Cpt code 66984) 20600-F3. ... 55250. Physician performs bilateral vasectomy. 19318-50. Tha patient reports that her breasts ate too large and as a result, she experiences severe back and shoulder pain. ...CPT Code: 77056 -Cerebrospinal fluid leakage detection and localization. CPT Code: 76850 -A cardiac magnetic resonance imaging for morphology and function without contrast. CPT Code: 75557 -A definitive drug screening for amphetamine. CPT Code: 80324 -The range of codes in the Cytopathology subsection of the CPT manual is __ … Urethral calibration and/or dilation (CPT code 53600) Vasectomy (CPT code 55250) Cystourethroscopy (CPT code 52000) It is important to carefully review the complete list of included procedures and determine the medical necessity of performing any additional procedures during a TURP. CPT. CPT Codes. Surgery. Surgical Procedures on the Male Genital System. Surgical Procedures on the Tunica Vaginalis. Excision Procedures on the Tunica Vaginalis. 55040. 55000. 55040. Study with Quizlet and memorize flashcards containing terms like Reference codes 49491-49525 for inguinal hernia repair. What is the correct code for an initial inguinal herniorrhaply for incarcerated hernia (patient is 47 years old)?, Which modifier is assigned to CPT code 55250, Vasectomy, unilateral or bilateral (separate procedure) including postoperative semen examination(s), Which of the ... 37228 – PTA, tibial/ peroneal artery, initial vessel, unilateral. +37232 – PTA, tibial/ peroneal artery, each addl vessel (use with 37228-37231) 37229 – Atherectomy, tibial/ peroneal artery, w/wo PTA in same vessel, unilateral. +37233 – Atherectomy, tibial/ peroneal, each addl vessel, w/wo PTA in same vessel.Dec 9, 2023 · CPT Code Description; 55250: Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) 58600: Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Use code 55250 for any open vasectomy, standard or non-scalp and code 55559 when the urologist performs the surgery laparoscopically. For either type of …Under the Medicare Program guidelines the coverage of sterilization is limited to necessary treatment of an illness or injury. An example of necessary treatment is the removal of a uterus or removal of diseased ovaries (bilateral oophorectomy) because of a tumor, or bilateral orchiectomy in the case of prostate cancer.CPT 55250 describes a surgical procedure involving the cutting and suturing of the vas deferens, either on one side or both sides. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples. 1. What is CPT Code 55250?Save up to 50% with Vitacost Promo Code. 43 Vitacost Coupons verified today! PCWorld’s coupon section is created with close supervision and involvement from the PCWorld deals team ... View our prices: UROLOGY SERVICES IMAGING LABORATORY INFERTILITY & CRYOPRESERVATION MONA LISA TOUCH MEDICAL ITEMS SILDENAFIL UROLOGY SERVICES Service Price CPT 55250 = Vasectomy (consult & post vasectomy semen analysis included) $1,248.00 Note: Price above is with self-pay/no insurance/cash only; no discount is available for this service. IMAGING Service Price X-ray CPT = 71045 Chest Summary. This CPT code is used for the simple repair of superficial wounds to the scalp, neck, axillae, external genitalia, trunk, and/or extremities (including the hands and feet) that are 2.5 cm or less in size. For clinical responsibility, terminology, tips and additional info. start codify free trial.dressings were applied consisting of Telfa, Tegaderm, fluffs. and a scrotal support and the patient was awakened from. anesthesia, taken to recovery in stable condition. MEDICATIONS: Norco 5/325 one to two every 4-6 hours p.r.n. pain, #30, no. refills. He is instructed to remove the dressing in 48 hours and apply.The list also includes CPT (Current Procedural Terminology) codes, which are a set of standardized codes to describe identical medical services among different health care providers. Because everyone uses the same codes to indicate the same services, CPT codes make it easier for you to understand and compare costs. ... 55250 Vasectomy (not ...When you undergo a medical procedure, there’s a corresponding series of numbers that medical professionals use to document the process. This Current Procedural Terminology code hel...Quiz yourself with questions and answers for CPT Coding.Quiz 2, so you can be ready for test day. ... 55250. Choose matching definition. Physician performs bilateral vasectomy. append CPT/HCPCS modifier to the procedure code: Bilateral maxillary sinusotomies (31020) Incision and drainage of carbuncle on the left hip.The purpose of the Uniform Commercial Code (UCC) is to provide a set of consistent regulation for the sale of goods and other related transactions. This is especially important in ...
55250-55250; 55300-55300; 55400-55400; Repair Procedures on the Vas Deferens. 55400 . On a CPT ® code's hierarchy page, you get to see a medical code's neighbors, including the CPT ® codes' official long descriptors. Seeing related codes helps coders choose the correct code, improving their accuracy rate. .... Cirkul refill cartridges
%PDF-1.5 %µµµµ 1 0 obj >>> endobj 2 0 obj > endobj 3 0 obj > endobj 4 0 obj >/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 5 0 R ...Jan 17, 2011 · Answer: The statement in the 55250 ( Vasectomy, unilateral or bilateral [separate procedure], including postoperative semen examination [s]) code descriptor "post operative semen examination (s)" should include all semen specimens needed to determine when the patient has become azoospermic or sterile, with no sperm seen on a semen specimen smear. On this page you will find the CHAMPUS Maximum Allowable Charges (CMAC) for the most frequently used procedures or services. These charges are the maximum amounts TRICARE is allowed to pay for each procedure or service and are tied by law to Medicare's allowable charges. We are providing this information so that you may be aware of what …medi non cpt 2 Part 2 – Medicare Non-Covered Services: CPT® Codes Page updated: January 2024 CPT Billing Procedures for Non-Covered Services (continued) CPT Code Description When to Bill Medi-Cal Directly 92002, 92004, 92012, 92014 Eye examinations If diagnosis is H52.00 thru H52.7, H53.50 thru H53.59, H53.60 thru H53.69, Z01.00 or Z01.01.There are as many ways to learn to code as there are ways to use your coding ability. You can learn it from college courses, books, online resources—or from one of several growing ...CPT Codes. Surgery. Surgical Procedures on the Male Genital System. Surgical Procedures on the Testis. Exploration Procedures on the Testis. 54550. 54535. 54550. 54560.Best answers. 0. Sep 28, 2021. #1. We don't do a lot of vasectomies, but I wanted to be sure. We no longer do the semen analysis, we send it out. The clinic has reached out to me after reading the description of the code for 55250. My understanding of this code is that we just can't bill the lab separately. We don't have to code this as reduced ...Should I Get a Computer Science Degree or Go to a Coding Bootcamp?... The best online coding bootcamps at colleges was created using Updated May 23, 2023 • 5 min read The technolog...Study with Quizlet and memorize flashcards containing terms like True or False The correct code assignment for an arthrocentesis, ring finger of left hand is 20600-LT., True or False The correct code assignment for a closed reduction of fractured phalange, 5th digit, right foot is 28515-T9., True or False Bilateral maxillary sinusotomies is reported as 31020, no …CPT Codes. Surgery. Surgical Procedures on the Female Genital System. Surgical Procedures on the Vagina. Repair Procedures on the Vagina. 57250. 57240. 57250. 57260.Posted 01/26/2023 Under CPT/HCPCS Codes Group 2 Codes CPT code 76882 had a description change. This revision is due to the Annual 2023/Q1 CPT/HCPCS Code Update and is effective 01/01/2023. 11/25/2021 R3 11/25/2021 Review completed 10/26/2021. Updated CMS National Coverage Policy section. Removed Title XVIII of the Social Security Act, section ...Based on the requirements of your carrier, report either a consultation code (CPT 99241 -CPT 99245 ) or an office visit code ... Report the procedure using 55250 (Vasectomy, unilateral or bilateral [separate procedure], including postoperative semen examination[s] ...55250 - Toutes les communes avec le code postal 55250. 13 résultats correspondent à votre recherche. Beaulieu en Argonne. 55250 . Beausite. 55250 . Brizeaux. 55250 ...13 résultats correspondent à votre recherche. Beaulieu en Argonne. 55250Best answers. 0. Nov 12, 2008. #5. 54150 & 54161 are quite different procedures. Done very differently. as far as bleeding is controlled vrs clamp ...among other things. But if in reality the provider did a 54161 (on a patient older than 28 days), the answer to your original question is yes - per CCI edits, 54161 and 64450 can be billed together. CPT Codes. Surgery. Surgical Procedures on the Urinary System. Surgical Procedures on the Bladder. Vesical Neck and Prostate Surgical Procedures. 52500. 52450. 52500. CPT 55250 describes a surgical procedure involving the cutting and suturing of the vas deferens, either on one side or both sides. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples. 1. What is CPT Code 55250?Apr 26, 2017 · If the exam is unrelated to the other physician’s surgery, however, you can bill for the exam during the surgery’s global period. Keep in mind that you don’t necessarily need to append modifier -24. Although the call group serves as an extension of those physicians who are not on call, you are still billing under your own NPI. .