Ob-Gyn Coding Alert
Find Out if You Can Report 57800 and 57454 Together
Question: Doctor specifies that the cervical canal has to be dilated (57800) in order to complete colposcopy procedure (57454). Can both these codes be billed together for payment?
Answer: No, they cannot. The Correct Coding Initiative (CCI) permanently bundles 57800 (Dilation of cervical canal, instrumental [separate procedure]) into 57454 (Colposcopy of the cervix including upper/adjacent vagina; with biopsy[s] of the cervix and endocervical curettage).
Your only option is to add modifier 22 (Increased procedural services) to 57454 — but only if your physician’s documentation supports significant additional work in doing the dilation. He should also include the time it took over and above the usual procedure time.
Utah Subscriber
Ob-Gyn Coding Alert
- Obstetrics:
Analyze Your Amnio Claims and Adopt These Expert Strategies
Find out why the term “polyhydramnios” can make or break your CPT, ICD-9 codes. Are [...] - Gynecology:
3 Practical Tips Update How You Report Uterine Tandem Procedures
Use this modifier when radiologists report the same code. Is your ob-gyn working with a [...] - Unlisted Procedures:
Here's How to Ease Your Unlisted Procedure Coding Process
Key: Reports should use simple, straightforward language. If you’ve ever filed an ob-gyn claim using [...] - ICD-10:
Adopt This Anemia Diagnosis Code Transformation
Hint: Look elsewhere for anemia due to iron-deficiency. Anemia is a condition that occurs when [...] - You Be the Coder:
Break Down This Multiple Procedure Surgery
Question: My ob-gyn gave me a case that has me confused, which she did as an [...] - Reader Question:
Solve This IUD Payer Conundrum
Question: When we do an intrauterine device (IUD) insertion and removal on the same day, [...] - Reader Question:
Pinpoint the Correct Code for C-Section Wound Seroma
Question: What diagnosis code should I report for “c-section wound seroma?” Also, wouldn’t we be [...] - Reader Question:
Find Out if You Can Report 57800 and 57454 Together
Question: Doctor specifies that the cervical canal has to be dilated (57800) in order to complete [...] - Reader Question:
Look at the Larger Picture for Debulking Services
Question: Patient with recurrent ovarian cancer with previous TAH/BSO undergoes new surgery for excision of [...] - Reader Question:
Bill Only the Final Converted Procedure
Question: I have an op report that states the ob-gyn did a hysteroscopy, converted to [...] - Reader Question:
Count Informed Consent as Surgery Pre-Work
Question: Patient came in for routine prenatal care visit. She knows she wants a tubal [...] - Reader Question:
Focus On What Your Ob-Gyn Actually Does
Question: What procedure should I bill when the ob-gyn did a vulvar biopsy? The pathology [...]
