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Thread: Cervical Polyp Removal

  1. #1

    Default Cervical Polyp Removal

    Our OB/Gyn twisted off a cervical polyp with ring forceps and applied silver nitrate and sent for biopsy. Is there a separate procedure charge that accurately describes this service or is it just part of the E&M? The codes I considered all seemed to indicate there was some sort of cutting involved, which did not happen in this case.

    Any assistance in coding this would be greatly appreciated!

    Thank you!

    Connie Lovell

  2. #2

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    There is no code that I am aware of either - I advise phyiscians to consider the time spent and work performed when choosing their E/M code.

  3. #3

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    Thank you!

  4. #4
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    Why not 57500? Isn't a polyp a lesion? In my Taber's a lesion is a tumor and a polyp is a tumor... Polyps usually form on/in mucousal organs/tissue, and I believe the cervix falls into that category.
    Lisa Bledsoe, CPC, CPMA

  5. #5

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    57500 indicates "a small cut is made into the cervix" - in a case where only forecps are used this is not applicable

  6. #6

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    The "small cut" is what was throwing me. Since the code reads biopsy of cervix OR local excision of lesion, is it appropriate to code based on the "biopsy of cervix" since the polyp was sent for biopsy?

  7. #7

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    I agree with Lisa, I use 57500 for a cervical polypectomy.

  8. #8

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    I see where everyone is coming from, but I still disagree...the CPT Coding Reference states that "a speculum is inserted into the cervix, a small cut is made, and forceps are used to remove the tissue, bleeding may be stopped by electric current" to me if you are simply using forceps to twist and pull off a polyp you didn't do they same amount of work.

  9. #9
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    Quote Originally Posted by clovell View Post
    The "small cut" is what was throwing me. Since the code reads biopsy of cervix OR local excision of lesion, is it appropriate to code based on the "biopsy of cervix" since the polyp was sent for biopsy?
    I believe it is appropriate. Twisting the polyp off is going still going to create a "cut". I think we are getting hung up on the verbiage.
    Lisa Bledsoe, CPC, CPMA

  10. #10

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    I also still think 57500 is appropriate. If you still disagree, add a -52 and take less payment for less work.

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