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colonoscopy with vagina speculum exam

  1. #1
    Default colonoscopy with vagina speculum exam
    Medical Coding Books
    Hi. My physician performed a colonoscopy with biopsy and then performed a vaginal speculum exam while the patient was still under. No biopsies were taken. Would this also be coded? If so, what CPT do I use? Is it just a pelvic exam under anesthesia or is it considered a colposcopy?

    Any help is much appreciated!!!


    Brooke Bierman, CPC, CPB
    Coding & Billing Manager
    2014 President AAPC Des Moines Chapter

  2. #2
    Default
    He did the vaginal speculum because she had a colovaginal fistula, which is why he initially did the colonoscopy. Then he did the rest of the exam. I guess I'm just not sure if I can bill this or not?


    Brooke Bierman, CPC, CPB
    Coding & Billing Manager
    2014 President AAPC Des Moines Chapter

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