Results 1 to 3 of 3

GYN pessary check

  1. #1
    Default GYN pessary check
    Medical Coding Books
    Hi everyone

    when patient come to clinic for pessary check is it Ok to bill everytime (57160) along with E/M 99212 Mod 25

    Thank you

  2. #2
    Duluth, Minnesota
    no - should be an E/M only (if it's a pessary check) AND typically it's a low level - 99212 (typically) NOT ALWAYS
    here's a little blurb:
    Coding for pessary removal:

    If a patient comes into the office to have her pessary removed, cleansed, and reinserted, an appropriate evaluation and management code (99211-99215) should be reported, based on the key components performed (history, examination, and medical decision making), as this is considered part of the E/M service.

    If a patient presents to your office for the removal of an impacted pessary, it is appropriate to report CPT-4 code 57415 (Removal of impacted vaginal foreign body under anesthesia). However, if this is performed without anesthesia, report an E/M code at the appropriate level instead. Report ICD-9 diagnosis code 996.39 (Mechanical complication of genitourinary, other) in addition to the patients other conditions such as 616.10 [Vaginitis], or 618.2-618.4 [Cystocele with uterine prolaspe].
    (from the website
    Donna, CPC, CPC-H

  3. #3
    Thank you Donna

Similar Threads

  1. Pessary
    By Patricia Ferrer in forum OB/GYN
    Replies: 0
    Last Post: 08-13-2013, 11:32 AM
  2. Pessary Check
    By sgogel0002 in forum OB/GYN
    Replies: 0
    Last Post: 10-18-2012, 10:06 AM
  3. Pessary-When taking a pessary
    By sallen in forum OB/GYN
    Replies: 1
    Last Post: 03-20-2011, 09:02 PM
  4. Pessary check
    By samyjm13 in forum OB/GYN
    Replies: 3
    Last Post: 08-09-2010, 03:16 PM
  5. Pessary insertion in Gyn clinic
    By kumeena in forum OB/GYN
    Replies: 3
    Last Post: 08-14-2009, 12:07 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.