AAPC - Back to school
Results 1 to 4 of 4

Thread: TCA and E/M

  1. #1
    Join Date
    Apr 2007
    Grants Pass

    Default TCA and E/M

    AAPC: Back to School
    I'm studying from the COBGC study guide. On page 46, the study guide states: per CPT, topical applications of chemo agents to destroy a lesion are reported as an E/M service [eg, TCA] Can anyone direct me to where in the CPT book this is stated?

  2. #2

    Default trichloroacetic acid for application GYN

    Trichloracetic acid is chemical therapy for local application for destroying the lesions.
    The codes are the 56501-56515- or 57061-57065 depending on genital site. ..are the ones I thought of.
    But in the CPT manual it is not quoted any where as topical. The purpose of using these chemicals is to destroy the local lesions like whart or granulomas or any redundent tissues or small lesions. If I am asked for an openion, I would go for those codes I stated above, because they can be very well taken as chemical therapy for destruction of lesions-vulval, vaginal or cervical lesions.
    The destruction of those lesions have immediate effct too.
    My idea would be these codes combined with E/M services with -25 appended
    Last edited by preserene; 08-15-2011 at 09:53 AM.

  3. #3


    Based on CPT’s definitions, if the ob-gyn destroys the lesion (for eg, by applying trichloroacetic acid (TCA) you should use the specific system codes-57501-56515, 57061—57065.
    Report both the destruction or excision of the lesion and an E/M visit for a new or established patient (99201-99215) if an E/M service is separate and significant from the procedure
    You should append modifier -25 (Significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service) to the E/M code to indicate that the E/M service is separate from the lesion removal. On the other hand, if the ob-gyn prescribes a topical medication for the patient to apply at home, you should report only the E/M visit.

  4. #4
    Join Date
    Apr 2007
    Grants Pass


    thank you both! I will question information in the 2011 study guide.

Similar Threads

  1. tca Treatment
    By Jamiemrph485 in forum OB/GYN
    Replies: 1
    Last Post: 11-07-2011, 03:42 PM
  2. Using TCA to destroy cervical lesion
    By ljhr@juno.com in forum OB/GYN
    Replies: 0
    Last Post: 01-13-2011, 09:15 AM
  3. Tca application
    By JSAXTON in forum OB/GYN
    Replies: 3
    Last Post: 06-29-2010, 11:09 AM
  4. TCA for destruction of warts
    By olgunchik in forum Dermatology
    Replies: 0
    Last Post: 01-14-2009, 09:41 AM
  5. Tca
    By buttric in forum OB/GYN
    Replies: 1
    Last Post: 07-30-2008, 01:52 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.