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  #1  
Old 01-06-2010, 10:43 AM
clovell clovell is offline
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Default Cervical Polyp Removal

Our OB/Gyn twisted off a cervical polyp with ring forceps and applied silver nitrate and sent for biopsy. Is there a separate procedure charge that accurately describes this service or is it just part of the E&M? The codes I considered all seemed to indicate there was some sort of cutting involved, which did not happen in this case.

Any assistance in coding this would be greatly appreciated!

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Connie Lovell
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Old 01-06-2010, 10:50 AM
aslonsky aslonsky is offline
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There is no code that I am aware of either - I advise phyiscians to consider the time spent and work performed when choosing their E/M code.
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Old 01-06-2010, 10:53 AM
clovell clovell is offline
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Thank you!
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Old 01-06-2010, 12:49 PM
Lisa Bledsoe Lisa Bledsoe is offline
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Why not 57500? Isn't a polyp a lesion? In my Taber's a lesion is a tumor and a polyp is a tumor... Polyps usually form on/in mucousal organs/tissue, and I believe the cervix falls into that category.
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Old 01-06-2010, 01:27 PM
aslonsky aslonsky is offline
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57500 indicates "a small cut is made into the cervix" - in a case where only forecps are used this is not applicable
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Old 01-06-2010, 02:00 PM
clovell clovell is offline
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The "small cut" is what was throwing me. Since the code reads biopsy of cervix OR local excision of lesion, is it appropriate to code based on the "biopsy of cervix" since the polyp was sent for biopsy?
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Old 01-07-2010, 09:53 AM
imjsanderson imjsanderson is offline
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I agree with Lisa, I use 57500 for a cervical polypectomy.
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Old 01-07-2010, 11:06 AM
aslonsky aslonsky is offline
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I see where everyone is coming from, but I still disagree...the CPT Coding Reference states that "a speculum is inserted into the cervix, a small cut is made, and forceps are used to remove the tissue, bleeding may be stopped by electric current" to me if you are simply using forceps to twist and pull off a polyp you didn't do they same amount of work.
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Old 01-07-2010, 12:45 PM
Lisa Bledsoe Lisa Bledsoe is offline
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Quote:
Originally Posted by clovell View Post
The "small cut" is what was throwing me. Since the code reads biopsy of cervix OR local excision of lesion, is it appropriate to code based on the "biopsy of cervix" since the polyp was sent for biopsy?
I believe it is appropriate. Twisting the polyp off is going still going to create a "cut". I think we are getting hung up on the verbiage.
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Old 01-08-2010, 03:21 PM
imjsanderson imjsanderson is offline
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I also still think 57500 is appropriate. If you still disagree, add a -52 and take less payment for less work.
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