Wiki Pessary Change Help


Caledonia, OH
Best answers
Hello everyone, I want to see if anyone out there can help me with a couple of pessary change scenarios. We have had some mixed reviews on what kind of e/m levels we should be billing for simple changes. I have included 2 notes from our office, from 2 different providers. Please let me know what you think each one should be coded as. Thanks in advance!!

1- Pessary change, c/o irritation to vagina.
#3 pessary changed
Tri Sans weekly
Ring forceps to remove because of pain & tight
Instructions given
Return 2 months
No ulcerations

2- Pessary change.
Feeling myuch better today. NO vaginal complains. Denies any vaginal bleeding, odor, itching/burning or pain (mild, usually discomfort)
Exam: Normal discharge, no bleeding, no ulcerations, 3* vaginal vault prolapse
Assessment: 3* cystocele, 3* uterine prolapse
Plan: #6 pessary ring with knob cleaned & changed. Will order a second one to change out/spare.
Recommend: Continue Estrace Vaginal Cream externally 2x week.
RTC 2mo & PRN

Did you ever get an answer? I need an answer to your question so bad I to am getting mixed reviews and my question is the same as yours.....If you did will you email me or call...thanks
Jessica Cates, CPC