Ob-Gyn Coding Alert

Revised Codes

56501 destruction of lesion(s), vulva; simple (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery)

56515 destruction of lesion(s), vulva; extensive (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery)

57022 incision and drainage of vaginal hematoma; obstetrical/postpartum

57061 destruction of vaginal lesion(s); simple (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery)

57065 destruction of vaginal lesion(s); extensive (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery)

57510 cautery of cervix; electro or thermal

58140 myomectomy, excision of leiomyomata of uterus, single or multiple (separate procedure); abdominal approach

58275 vaginal hysterectomy, with total or partial vaginectomy

58563 hysteroscopy, surgical; with endometrial ablation (e.g., endometrial resection, electrosurgical ablation, thermoablation)

58611 ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (list separately in addition to code for primary procedure)

59000 amniocentesis; diagnostic

76805 ultrasound, pregnant uterus, B-scan and/or real time with image documentation; complete (complete fetal and maternal evaluation)

76819 fetal biophysical profile; without non-stress testing

76830 ultrasound, transvaginal

76856 ultrasound, pelvic (nonobstetric), B-scan and/or real time with image documentation; complete

82270 blood, occult, by peroxidase activity (e.g., guaiac), qualitative; feces, 1-3 simultaneous determinations New Codes

10021 fine needle aspiration; without imaging guidance

10022 fine needle aspiration; with imaging guidance

57155 insertion of uterine tandems and/or vaginal ovoids for clinical brachytherapy

58346 insertion of Heyman capsules for clinical brachytherapy

58953 bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking

58954 bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy

59001 amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance)

64561 percutaneous implantation of neurostimulator electrodes; sacral nerve (transforaminal placement)

64581 incision for implantation of neurostimulator electrodes; sacral nerve (transforaminal placement)

99500 home visit for prenatal monitoring and assessment to include fetal heart rate, non-stress test, uterine monitoring, and gestational diabetes monitoring

99501 home visit for postnatal assessment and follow-up care

99506 home visit for intramuscular injections

99507 home visit for care and maintenance of catheter(s) (e.g., urinary, drainage, and enteral)

99553 home infusion for tocolytic therapy, per diem

99561 home infusion of hydration therapy, per diem Deletions

88170 fine needle aspiration; superficial tissue

88171 fine needle aspiration; deep tissue under radiologic guidance

  Coming next month: Changes to Medicare Codes and Payment Guidelines for 2002.