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Old 01-24-2012, 10:28 AM
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BABS37 BABS37 is offline
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Default Vaginal Speculum Exam

Hi. I posted this in general surgery but maybe Ineed womans health. 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?

I was kind of looking at 57410 or 57420 but I have no idea if I can code this. It is a separate paragraph dedicated strictly to the vaginal speculum exam and is well documented. Any thoughts from anyone?

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