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Billing for CPT 56515

  1. #1
    Location
    New Braunfels, Texas
    Posts
    25
    Default Billing for CPT 56515
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    Hi everyone, I code for an OB/GYN office and have a question in billing out cpt 56515. If a patient comes in on a weekly basis to have destruction of lesions, can I bill out 56515 weekly, or just on the first visit. Weekly would just be the office visit (99212-99215)? Please advise......

  2. #2
    Location
    Kansas City, MO
    Posts
    751
    Default
    Code 56515 - Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) has a 10 day global period.

    If she is coming in weekly, for the same procedure you will not be able to bill an E/M due to the 10 day global period. However, based on the work provided and documentation you may be able to bill the procedure 56515 or 56501, but you will need a modifier. Depending on the documentation you may be able to use 58 or 78. Make sure to read the description for both modifiers before selecting one.
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013
    angela@medicalrevenuesolutions.com

  3. #3
    Location
    New Braunfels, Texas
    Posts
    25
    Default Cpt 56515
    Thanks for your response. It really did help me in deciding how I should code the weekly visits.

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