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Thread: Billing for CPT 56515

  1. #1

    Default Billing for CPT 56515

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    Kansas City, MO


    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
    AAPC of Kansas City
    National Advisory Board Representative Region 5

    Medical Revenue $olutions
    Senior Managing Consultant


  3. #3

    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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