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Re: Coding new questionFrom: ainsron (ainsron@sbcglobal.net)Mon Jan 7 18:07:27 2008
You would not charge an E/M code for that visit unless there is a separately identifiable problem, such as vaginitis requiring wet mount, etc. You would use whichever one of the codes for colposcopy describes what you do: 57454 Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage 57455 Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix 57456 Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage 57460 Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix 57461 Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Glen Elrod Sent: Monday, January 07, 2008 4:39 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Coding new question Anna, thanks for that explanation. Next question or scenario. 22 yo G1P1 was seen two weeks ago for her postpartum exam. I did a complete H&P/exam etc at that time and billed it appropriately (one would hope) Her pap returned as LGSIL and she now needs a colpo. Obviously, all the history and completeness of the physical do not need to be repeated. The CPT code will that of a colposcopy with biopsy. What would the E/M code be and how does it relate to what you are paid for the procedure? The same scenario I would assume to be that for an EMB after a yearly, or IUD after a yearly or postpartum exam. Thanks, Glen
>----- Original Message ---- 99234 is used when all the services provided to an observation patient (both admission and discharge) occur on the same day. 99217 is used to code the services involved in discharging an observation patient who was admitted to observation status the day before. Anna Meenan, MD, FAAFP Does anyone out there think they are savy enough with coding to answer a few questions? Could be off list or on list as you see fit. Mine for today is understanding the difference between 99217 and 99234 when it comes to outpatient observation, for instance the rule out PTL that is on the unit for 2-3 hours. Both to me sound similar in description, both require a minimal amount of documentation. Maybe we (meaning I) should start some sort of coding question of the day. I'd like to see how we each approach coding. Thanks, Glen _____ Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now. <http://us.rd.yahoo.com/evtQ733/*http:/mobile.yahoo.com/;_ylt=Ahu06i62sR8H DtDypao8Wcj9tAcJ> _____ Never miss a thing. Make Yahoo <http://us.rd.yahoo.com/evtQ438/*http:/www.yahoo.com/r/hs> your homepage.
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