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Ob-Gyn Coding Alert

Pessary:

Start and Finish Your Pessary Coding With This Solid Strategy

Published on Tue Jan 17, 2012

Find out if your ob-gyn did a refitting at the time of a pessary insertion. If you think 57160 is all you need for pessary insertion procedures, think again. Not only will you have to consult your HCPCS and ICD-9 manuals, you must follow your practice's policy on whether the patient or you are responsible for the supplies. Pick Out Pertinent Pessary Dx A pessary is a "support device for pelvic-floor weakness, such as uterine prolapse, vaginal prolapse (enterocele, cystocele, rectocele), and stress urinary incontinence," says Cindy Foley, billing manager at three ob-gyn practices in Syracuse, N.Y. The pessary device is the most common—and occasionally the only—nonsurgical option for treating advanced uterine prolapse. Causes: Weakening of the muscles and ligaments that hold the uterus in place, which could be triggered by multiple vaginal deliveries, obesity, hormonal changes or old age, can cause the prolapse. Your most common ICD-9 codes to [...]
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