Urology Coders: Understanding C9761 Procedure Code

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Coders working in urology are starting to see a new procedure code: C9761. In the latest episode of The Pulse, Calyxo explains how the code was created, how physician and facility reporting differ, and where prior authorization challenges may occur. LISTEN NOW: https://lnkd.in/geFvVwWf

The prior auth trap is where urology billers get burned. C9761 is facility-only, so submitting prior auth under the physician instead of the facility is a preventable denial most teams won't catch until the claim comes back.

Is there a clear guideline on when to use this vs existing similar procedures?

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