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Help with Cerclage removal

  1. Default Help with Cerclage removal
    Medical Coding Books
    One of my doctors did a cerclage removal and the patient refused any sedation only the local, how should I code this? 59871 says "other than local", what else can I use? HELP

  2. #2
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    Tacoma, WA
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    Quote Originally Posted by tmsmith View Post
    One of my doctors did a cerclage removal and the patient refused any sedation only the local, how should I code this? 59871 says "other than local", what else can I use? HELP
    That depends on the circumstances under which it was removed. Was the patient in the office? Why was it being removed? In some circumstances you don't bill for the removal.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. Default
    The patient was seen at the Hospital as an outpatient procedure.

  4. #4
    Location
    Tacoma, WA
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    Quote Originally Posted by tmsmith View Post
    The patient was seen at the Hospital as an outpatient procedure.
    And the reason for the cerclage? Is this a pregnanct patient or non-pregnant patient? If the removal is done during the course of labor and delivery, you don't bill separately. If it was done under other circumstances, it would appear you could bill 59871 with 52 modifier to reduce the service.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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