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Thread: GYN pessary check

  1. #1
    Join Date
    Apr 2007
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    Default GYN pessary check

    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
    Join Date
    Apr 2007
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    Duluth, Minnesota
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    Default

    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 http://www.acog.org/departments/dept...&bulletin=4609)
    Donna, CPC, CPC-H

  3. #3
    Join Date
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    NYMAC
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    Default

    Thank you Donna

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