Question:
Our institution performs MRI-guided transurethral ultrasound ablation of prostate with a urologist placing the ablation catheter and a radiologist performing the ablation. On the professional side, code 51721 would be reported for the urologist, and code 55881 would be reported for the radiologist. Regarding the facility coding, would we submit the comprehensive CPT code, 55882?

Answer:
Thinking of this in the same light as when two providers of different specialties perform a myelogram, while each provider would bill for the portion of the service that they each individually performed, the facility (i.e., hospital) would report a single code as if a single provider did all the work.

Using this logic and precedent, we would recommend only reporting a single code on the UB04 form for the question that you raise.

 

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