Billing and Coding: Fluid Jet System Treatment for LUTs/BPH

This billing and coding guidance requires that claims for Fluid Jet System Treatment for LUTS/BPH include a valid ICD-10-CM diagnosis code and, when applicable, the referring/ordering physician's name and NPI; claims missing these elements may be returned under Section 1833(e). Procedure codes may be subject to NCCI and OPPS edits, so providers must review those requirements before billing Medicare.

"A claim submitted without a valid ICD-10-CM diagnosis code will be returned to the provider as an incomplete claim under Section 1833(e) of the Social Security Act."

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