• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Billing 57421 and 57454 together

Create Wiki
J

joycegriffith

New
Messages
2
Location
Ignacio, CO
Best answers
0
Patient had colposcopy of entire vagina and cervix with biopsies taken at both sights as well as endocervical curettage. Practice felt the best codes to use were 57421 and 57454. There is a CCI conflict with these 2 codes.
However, CPT states under 57421 it excludes Colposcopic procedures and/or examination of Cervix or Vulva. So it seems you would bill the 57421 and 57454 together.
I feel the best codes to use would be 57421 and 58110 as I interpret 57421 to include the components of 57454 with exception of endocervical curettage. I would appreciate some clarification...Thank you....
 
57421 bundles with 57454 and no modifier is allowed to break the bundle, therefore these two codes cannot be billed together under any circumstance.

For code 57454 Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage, there's a note stating "A separate code for a biopsy of the vagina (57100) can be reported if performed, by adding a modifier 59." This would be my suggestion.
 
You must log in or register to reply here.
Top