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Wiki Pessary care

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sknapp56

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I would like to know how other coders bill for a Medicare patient who comes in for a pessary cleaning and reinsertion. My impression is the MCR guidelines state it needs to be billed as an E & M and not with the pessary insertion code. My physician was told at a conference by a coder that if the patient has a problem such as vaginitis you can bill for the office visit and the pessary insert code. Would just like information on how others would bill this visit.
 
pessary insert code 57160 is for inital fitting or re-fitting of pessary. For cleaning and reinsert our office bills using e/m code
 
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