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Urinary and Male Genital System

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Anatomic Division
The Urinary System subsection is first arranged anatomically
Kidney
Endoscopic procedures within the Urinary subsection, Kidney subheading, are often divided on this unique factor: existence of a stoma
Procedures
When lithotripsy is performed, the patient may be surrounded by: liquid
Bladder
An installation procedure of the bladder is performed for treatment: Bladder cancer
Urodynamics
When urodynamics are performed and the physician only interprets the results, the correct modifier woud be: -26
Endoscopy
-Cystoscopy, Urethroscopy, Cystourethroscopy
Urethral dilation
Codes are often divided based on this factor: Initial or Subsequent
Cystourethroscope
Is passed through the urethra and bladder to view the urinary collecting system
Penis
Within the Male Genital System, the greatest numbers of codes fall under Penis category
Brachytherapy
This type of treatment used to treat prostate cancer by placing the radioactive elements directly into the prostate
2 basic types of Health Insurance
The traditional kind of health insurance wherein patients can choose any provider of hospital they wish and change physicians at will is indemnity (fee-for -service) and mangae care
2 basic types of Health Insurance
Most third - payers do not pay for medical services that are not medically necessary
Out-of-Pocket Maximum
Insurance companies often cap what a patient must pay, which is referred to as the our-of-packet for covered services in a benefit period
Out-of-Pocket Maximum
Most health insurance ask that patients pay a portion of the charge called the coinsurance
Out-of-Pocket Maximum
The dollar amount that a patient must pay each year before his/her insurance benefits begin is called a deductible
Preesicting Conditions
Medical illnesses or injuries that a patient has prior to the purchase of a health insurance policy
Managed Care
People who are covered under managed care plans are commonly referred to as enrollees
Sources of Health Insurance. Group Contracts
An insurance contract made with a business entity that covers its employees equally
Sources of Health Insurance. Individual Policies/Contract
When an individual purchases a healthcare policy from a commercial insurer
Medical Savings Account (MSA)
A special tax shelter set up for the purpose of paying medical bills for individuals who choose a low cost, high deductible health care policy.
Other terms to know
Usual, Reasonable and Customary (UCR): Insurance payments based on