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May 21, 2013. #3. Colposcopy BX. The Colposcopy BX would be billed using 57454 regardless of how many biopsies are done. If the physician does an Endometrial Bx with the Colposcopy you would bill 57454 + 58110. Usually there are no modifiers used in this coding sequence, but definitely use your best judgement in deciding if one should be used.
The correct modifier to use will depend on the code combination you select. Code 56605 would take modifier -59 (Distinct procedural service) rather than modifier -51 because the biopsy is a CPT "separate procedures" that the payer might try to bundle with the colposcopy. The Medicare relative value units (RVUs) assigned to 56605 in 2002 are 3. ...
New CCI Takes Aim at Colposcopy and Biopsy Coding for Ob-Gyns. The latest version of the National Correct Coding Initiative (NCCI) contains 55 new edits that will impact ob-gyn practices, and all but five of these edits will never be paid by Medicare when they are billed together. NCCI version 9.1 went into effect April 1.
Because the ob-gyn performed an endocervical curettage and cervical biopsy in addition to the colposcope, you should report 57454. ICD-9: Again, although you need more information to choose the ICD-9 code appropriately (because you must always base it on your physician's documentation), the likely codes are 795.01-795.05, 795.08-795.09.
Then the results of the colposcopy would show the need for biopsies of suspicious areas." CPT codes for cervical biopsy are 57454* (Colposcopy [vaginoscopy]; with biopsy [s] of the cervix and/or endocervical curettage) and 57500* (Biopsy single or multiple or local excision of lesion with or without fulguration [separate procedure]).
56605. +56606 x 2. You should note that there is no modifier listed with +56606 because this code is an add-on code that does not require one. Heads up: You should not report all biopsies this way. In the case of a colposcopy and biopsy (s) of the cervix (57455, Colposcopy of the cervix including upper/adjacent vagina; with biopsy [s] of the ...
Nov 30, 2022. #1. I had a colposcopy with biopsy performed. The provider who performed the procedure billed 99213, 57454, and 88305 x 2. The pathologist submitted a separate claim for 88305. All conversations I had with the provider on that DOS were related to the colposcopy and what to expect from the procedure.
Code 57460 (... with loop electrode biopsy [s] of the cervix) describes a LEEP cervical biopsy with the use of a colposcope. The ob-gyn takes the exocervix and all or part of the transformation zone but not the endocervix. This code has 7.97 RVUs. Watch out: Both 57460 and 57461 require an examination of the entire cervix and the upper adjacent ...
Missouri Subscriber. Answer: Generally, you would use 57500 (Biopsy, single or multiple, or local excision of lesion, with or without fulguration [separate procedure]) if the ob-gyn performs the endocervical biopsy without a colposcopy. And you would report 57455 (Colposcopy of the cervix including upper/adjacent vagina; with biopsy [s] of the ...
CPT®: Narrow down your coding options. From the first phrase, you know to look at the codes that “describe the inspection of the cervix with upper/ adjacent vagina,” Stilley says. Therefore, your options are 57454 (Colposcopy of the cervix including upper/ adjacent vagina; with biopsy [s] of the cervix and endocervical curettage), 57455 ...