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Ob-Gyn Coding Alert

CCI 17.0:

Have a Modifier and Documentation Ready When Reporting E/M and Ob Services Together

Published on Fri Jan 14, 2011

Forgo including four fluoroscopy codes, especially when submitting "scopy" procedures. With the new year comes 698,042 new Correct Coding Initiative (CCI) version 17.0 edits, but don't panic. Most of the edits affecting your ob-gyn claims won't be difficult to apply to your daily coding practice. For instance, if you're already comfortable with bundles that exist for 57155 (Insertion of uterine tandems and/or vaginal ovoids for clinical brachytherapy), then you're prepared for the new bundles added to new code 57156 (Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy). They are the same. Break the rest of the edits into two categories: fluoroscopy edits and E/M edits. 1. Count 4 Fluoro Codes As Included in Gyn Procedures Your claims could face problems if you attempt to bill a fluoroscopic code in addition to "just about everything in the gynecology section in the CPT manual," says Melanie Witt, RN, COBGC, MA, [...]
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