Results 1 to 3 of 3

incision & drainage of cervical cyst?

  1. #1
    Default incision & drainage of cervical cyst?
    Medical Coding Books
    I'm new to OB/GYN and can't figure this CPT out. "Incision and Drainage of Cyst of the Cervix".

  2. Default
    hi you did not mention the type of cyst.

    Just see the solution blow if the cyst is Nabothian cyst.

    No code exists for this type of cyst. Carriers won't reimburse for this cyst because carriers consider it to be a minor condition that does not require any significant work to remove or incise and is therefore just part of the E/M service.

    And many payers do not reimburse ob-gyns for removing this type of cyst without documentation showing significant work. These cysts are very common, and most patients are unaware they have them until their ob-gyn performs a Pap smear and the results point it out. The best advice is to roll it into the E/M service. If your ob-gyn insists on billing, you should use unlisted-procedure code 58999 (Unlisted procedure, female genital system [nonobstetrical]).

    Last edited by vikas.maheshwari; 09-02-2009 at 06:39 AM.

  3. #3
    The doctor didn't specify the type of cyst either, just that it appeared to be infected.

    OPERATIVE FINDINGS: A 3.5-cm cyst in the anterior lip of the cervix, which appeared to be infected and on cystoscopy, there were multiple petechial hemorrhages in all quadrants of the bladder after hydrodistention. There were no stones or lesions visualized within the bladder.

    TECHNIQUE: The patient was taken to the operating room where general anesthesia was administered. The patient was subsequently positioned, prepped, and draped in the usual sterile fashion for vaginal surgery. A Graves speculum was then introduced into the vagina and 1% lidocaine was then injected into the cervical cyst. Incision and drainage of the cervical cyst was done with the scalpel. Purulent exudate was evacuated and subsequently #1 chromic running locking stitch was then used for hemostasis and reapproximation of the tissue.

    I will suggest the unlisted code and see if he wants to bill it.

    Thank you for your help!!

Similar Threads

  1. Incision & Drainage of a stye
    By drwilkins in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 07-16-2015, 04:38 PM
  2. Incision and drainage of sub-Q cyst eyelid
    By minnick in forum Ophthalmology/Optometry
    Replies: 0
    Last Post: 11-11-2014, 06:56 AM
  3. Incision & drainage of chest wall
    By Licorice5 in forum Cardiovascular Thoracic
    Replies: 1
    Last Post: 12-28-2011, 10:20 AM
  4. Incision, drainage & sharp debridement
    By ksb0211 in forum General Surgery
    Replies: 0
    Last Post: 09-14-2011, 12:26 PM
  5. excision or incision & drainage
    By mrolf in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 11-25-2009, 12:53 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.