Wiki 57454 & 57420

[klapetri@ilovemygyn.com]

CPT codes 57454 & 57420
Per NCCI edits, 57420 is bundled to 57454 and not allowed separate reimbursement
Is there any circumstance where 57454 and 57420 are both payable?
Appreciate the feedback

 

[csperoni]

No, 57420 and 57454 are column 2 edits. That means even -59 or -XU, etc will not override the edit.
57454 Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage
57420 Colposcopy of the entire vagina, with cervix if present
Clearly, there is a ton of overlapping work there, which is why they are column 2 edits.