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Thread: Patient w/2 vaginas, cervix's, and uteruses

  1. #1
    Join Date
    Apr 2007
    Colorado Springs

    Question Patient w/2 vaginas, cervix's, and uteruses

    AAPC: Back to School
    My doc saw a patient whom has two vaginas, two cervix's, and two uteruses. He did a colpo on both cervix's (57455) I am unsure how to bill this. Do I do two lines of 57455 with her abnormal pap dx and the doubling of vagina, and etc? Or do I bill one line with a mod 22 and double the price?
    Also For future reference, how would we bill for paps? Q0091 twice?
    Thanks in advance

  2. #2


    I just recently had this situation where my doc did 2 hysteroscopy/polypectomies because of a double uterus, I billed it twice and submitted it wioth a letter and copy of the OP note.

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default 76 modifier ?

    Perhaps you need to use the 76 modifier for "repeat procedure" so that it is clear that you are not just accidentally submitting a duplicate charge.

    Just a thought.

    F Tessa Bartels, CPC, CEMC

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