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Postpartum removal of mass in cervical os

  1. #1
    Location
    Lebanon, New Hampshire
    Posts
    31
    Default Postpartum removal of mass in cervical os
    Medical Coding Books
    This patient had heavier than normal bleeding about five weeks PP. On exam the provider found a "mass" coming through the cervix. She grasped with ring forceps and removed. The cervix remained dilated 1-2 cm with fairly brisk bleeding, so two scopettes were inserted and held in placed to control bleeding.

    I cannot find a CPT code that fits. A colposcope wasn't used, no instrumentation other than the above.

    Can someone point me in the right direction, or is this a case where you'd use an unlisted code?

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by Rita B. Conley View Post
    This patient had heavier than normal bleeding about five weeks PP. On exam the provider found a "mass" coming through the cervix. She grasped with ring forceps and removed. The cervix remained dilated 1-2 cm with fairly brisk bleeding, so two scopettes were inserted and held in placed to control bleeding.

    I cannot find a CPT code that fits. A colposcope wasn't used, no instrumentation other than the above.

    Can someone point me in the right direction, or is this a case where you'd use an unlisted code?
    That is all going to be part of the E/M service for that day, and you can bill an E/M code with the 24 modifier to indicate this was outside the normal post partum care.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

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