• 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 vaginal exam under anesthesia

Create Wiki
M

mdgask

New
Messages
7
Best answers
0
We have a patient that will be getting a vaginal exam under anesthesia as an outpatient in the hospital and she will also have a Mirena IUD insertion at the same time. The hospital said we will need to supply the Mirena because they do not keep these in stock. What is the proper billing for the exam and the Mirena IUD insertion? We need to be reimbursed for the Mirena device. The diagnosis for the exam is stenosis of the cervix.
 
Last edited:
The insertion of the Mirena is the primary procedure. The vaginal examination under anesthesia is considered "inherent" to the procedure and therefore is not billable (see www.cms.gov/NCCI). In regards to your question regarding the purchase of the Mirena, does your office keep these in stock? If so, the HCPCS code J7302 should be billed on the same claim as the physician's charges for the 58300 CPT code for the insertion of the Mirena.

I hope this answers your question :)
 
You must log in or register to reply here.
Top