For Private Practice

Reimbursement for BladderScan^® Bladder Volume Instruments and FloPoint^TM Elite Uroflow Instruments is accomplished using the following CPT codes:

CPT 51741: Uroflowmetry, simple/complex measures the urine flow rate visually, electronically or with the use of a disposable unit. The flow rate reflects the combined activity of the detrusor muscle, bladder neck, and urethral function. Decreased flow rate may be due to poor detrusor function from, for example, neurologic lesions, obstructing BPH, or cystocele. Increased flow rate may indicate poor urethral function causing, for example, stress urinary incontinence (SUI) or intrinsic sphincter dysfunction (ISD).

CPT 51798: Measurement of post voiding residual urine and/or bladder capacity by ultrasound, non-imaging.
Post-void residual (PVR) urine volume is the volume in the bladder immediately after the completion of voiding. The standard method of determining PVR urine volumes is intermittent catheterization, which is associated with increased risk of urinary infection, urethral trauma and discomfort for the patient. Bladder ultrasound has been introduced as an alternative, noninvasive method, to avoid the potential complications of intermittent catheterization.

Final diagnosis coding remains the responsibility of the diagnosing physician.

Common Urologic Indicators for 2010

INDICATIONS AND LIMITATIONS OF COVERAGE AND/OR MEDICAL NECESSITY:
Measurement of post-void residual urine has been performed accurately in the past by simple catheterization, but now is most often performed by ultrasound to avoid an invasive procedure.

Note: The ICD-9 codes are sample conditions with which measurements performed by the BladderScan^® Bladder Volume instruments and FloPoint^TM Elite Uroflow instruments may be associated.

Specific payer policies may articulate ICD-9 codes that support medical necessity. Physician must consult payer policies.

The Physician Reimbursement System phone number is 1.800.972.9298.
Any member of the AUA can use this service for free.