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Thread: Pessary Fitting & Insertion to Medicare

  1. #1
    Join Date
    Apr 2007

    Default Pessary Fitting & Insertion to Medicare

    AAPC: Back to School
    Physician inserterd pessary we billed 57160, A4562. Patient returned the following day because pessary fell out we inserted new ring. What is the correct way to code this?

    Any insight would be helpful!
    Christina Lee Wagner, CPC, CPC-H

  2. #2

    Default perhaps a low-level E/M

    A low-level E/M (99212) with the same dx used at the original fitting would probably accurately reflect a visit like this. Review the documentation to verify appropriateness of level. If pt was re-fitted, I would think you could bill the fitting code with a repeat procedure modifier.

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