• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki 57410 Pelvic examination under anesthesia (other than local)

Create Wiki
N

natashalage

Expert
Messages
376
Location
Walnut Creek, CA
Best answers
0
Hello OBGYN coders, :)
I have a question and I will greatly appreciate your rational to it. Thank you.
If Md did exam of Only vulva and/or vagina under anesthesia, will you code it as 57410 or 57410-52? I was thinking to use a modifier -52 because not all pelvic organs were examined. Per a description, this cpt is for exam of vagina, cervix, uterus, ovaries.. NCCI allows a modifier 52. What is the correct coding? Thank you very much.
Lay Description: Prior to the examination, the patient is placed under anesthesia, other than local, for a bimanual examination of the pelvic organs. The physician places two fingers inside the vagina to palpate the cervix, uterus, and ovaries while using the other hand to gently palpate the top of the uterus with pressure on the abdomen noting the organs' size, shape, and/or any abnormality.
Consumer Friendly FullAn exam of the pelvis and genitals while under anesthesia.
Consumer Friendly ShortPelvic exam with anesthesia
 
57410-52 seems to be appropriate in your example. Please note - this bundles into almost any other procedure performed. I cannot remember the last time I billed 57410.
 
We see this (57410) fairly regularly with patients who can't tolerate an exam in the office for various reasons.
 
You must log in or register to reply here.
Top