If a patient comes into the office to have her pessary removed, cleansed, and reinserted, the appropriate evaluation and management code (99211-99215) should be reported, based on the key components performed (history, examination, and medical decision making), as this is considered part of the E/M service.
Therefore, it would not be appropriate to report CPT code 57160, Fitting and insertion of pessary or other intravaginal device, as this code is to be reported for the initial fitting and insertion of the pessary or other intravaginal support device. In order to report code 57160 again, a new pessary would have to be refit for the patient and the physician would have to remeasure the patient and provide fitting of the new pessary. The supply of the new pessary may also be reported with the appropriate HCPCS code or with 99070.
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