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Re: Coding questionFrom: ainsron (ainsron@sbcglobal.net)Wed Jan 12 16:01:02 2005
57461 ($376.70) Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix 57460 ($341.46) Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix 57522 ($261.49) Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision The descriptions and Medicare rates are per Flash Code. As Gary said, concurrent colposcopy distinguishes the first two from the third and which is equivalent to a cold knife conization, the difference is that one simply uses the LEEP electrode to accomplish it. The operator performing a 57460 uses the LEEP as a biopsy tool while performing colposcopy rather than a biopsy instrument, and does not excise the entire transformation zone, as one does for a cone biopsy. Ronald E. Ainsworth -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod Darryl G MAJ 48 MDOS/SGOBO Sent: Wednesday, January 12, 2005 2:20 AM To: Multiple recipients of list OB-GYN-L Subject: Coding question I'm looking at coding for LEEP procedures done in the office. There seems to be 3 distinct CPT codes available. 57460 colpo with loop electrode biopsy of the cervix 57461 colpo with loop electrode conization of the cervix 57522 loop electrode excision Anybody with coding experience that can help differentiate these 3? Thanks, Glen D. Glen Elrod, Maj USAF, MC Obstetrician/Gynecologist Maternal Child Flight 48 MDOS/SGOBO UNIT 5210 Box 23 APO, AE 09464 DSN (314) 226-8334 Comm 01638-52-8334 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this Email and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This document may contain information covered under the Privacy Act, 5 USC 552(a), and/or the Health Insurance Portability and Accountability Act (PL 104-191) and its various implementing regulations and must be protected in accordance with those provisions. Healthcare information is personal and sensitive and must be treated accordingly. See <https://sg.usafe.af.mil/HIPAADisclosure.cfm> for full details.
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