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Thread: Pessary Insertion x2 coding Q.

  1. #1

    Default Pessary Insertion x2 coding Q.

    AAPC: Back to School
    Hello, everyone!
    I have a question regarding insertion of pessary for the second time. The ptn returned to the office 5 days after the original insertion stating that the 1st pessary fell out. I am thinking 57160 w/ a modifier but I am not which one.

    Thanks in advance

  2. #2


    Are you using the same pessary? When a patient comes back for pessary cleaning, we bill the proper level E&M with the diagnosis code for the reason for the pessary, prolapse, etc.......

  3. #3


    Why would you need a modifer? There are no global days for a pessary insertion. If the doctor had to refit her for another pessary due to the first one not working I think that would be appropriate.

  4. #4



    I have a question in regards to Botox injections. Can you please inform if CPT 90471 (how the injection was given) is coded along with the procedure code. I need to clarify if 3 codes are used for billing purposes: procedure (64612-64614),how it was injected (90471), & what medication was injected (J0585 or J0587) OR if 2 codes are used for billing purposesrocedure (64612-64614) & what medication is injected (J0585 or J0587)

    Last edited by sterrett; 03-16-2009 at 11:33 AM. Reason: Botox Injections

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