Ob-Gyn Coding Alert

Revised Codes and New Codes

Revised Codes

  • 56501 destruction of lesion(s), vulva; simple (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery)

  • 56515 destruction of lesion(s), vulva; extensive (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery)

  • 57022 incision and drainage of vaginal hematoma; obstetrical/postpartum

  • 57061 destruction of vaginal lesion(s); simple (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery)

  • 57065 destruction of vaginal lesion(s); extensive (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery)

  • 57510 cautery of cervix; electro or thermal

  • 58140 myomectomy, excision of leiomyomata of uterus, single or multiple (separate procedure); abdominal approach

  • 58275 vaginal hysterectomy, with total or partial vaginectomy

  • 58563 hysteroscopy, surgical; with endometrial ablation (e.g., endometrial resection, electrosurgical ablation, thermoablation)

  • 58611 ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (list separately in addition to code for primary procedure)

  • 59000 amniocentesis; diagnostic

  • 76805 ultrasound, pregnant uterus, B-scan and/or real time with image documentation; complete (complete fetal and maternal evaluation)

  • 76819 fetal biophysical profile; without non-stress testing

  • 76830 ultrasound, transvaginal

  • 76856 ultrasound, pelvic (nonobstetric), B-scan and/or real time with image documentation; complete

  • 82270 blood, occult, by peroxidase activity (e.g., guaiac), qualitative; feces, 1-3 simultaneous determinations

    New Codes

  • 10021 fine needle aspiration; without imaging guidance

  • 10022 fine needle aspiration; with imaging guidance

  • 57155 insertion of uterine tandems and/or vaginal ovoids for clinical brachytherapy

  • 58346 insertion of Heyman capsules for clinical brachytherapy

  • 58953 bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking

  • 58954 bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy

  • 59001 amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance)

  • 64561 percutaneous implantation of neurostimulator electrodes; sacral nerve (transforaminal placement)

  • 64581 incision for implantation of neurostimulator electrodes; sacral nerve (transforaminal placement)

  • 99500 home visit for prenatal monitoring and assessment to include fetal heart rate, non-stress test, uterine monitoring, and gestational diabetes monitoring

  • 99501 home visit for postnatal assessment and follow-up care

  • 99506 home visit for intramuscular injections

  • 99507 home visit for care and maintenance of catheter(s) (e.g., urinary, drainage, and enteral)

  • 99553 home infusion for tocolytic therapy, per diem

  • 99561 home infusion of hydration therapy, per diem

    Deletions

  • 88170 fine needle aspiration; superficial tissue

  • 88171 fine needle aspiration; deep tissue under radiologic guidance

      Coming next month: Changes to Medicare Codes and Payment Guidelines for 2002.