Ob-Gyn Coding Alert
Excision of Cervical Septum
Question: Patient had a known septate uterus and vagina. After a vaginal delivery, the ob-gyn noted the vaginal septum to be lacerated. The cervix was examined, and there was a thick cervical septum remnant that was bleeding. The ob-gyn decided to excise both. I know 57130 is the code for vaginal septum excision, but I can’t find a code for excision of the cervical septum. What is it? Tennessee Subscriber Answer: You won’t find a code for the excision of the cervical septum, because one doesn’t exist. You should add modifier 22 (Increased procedural services) to 57130 (Excision of vaginal septum) if the ob-gyn described significant addition work in removing the cervical remnant. Also, remember the control of bleeding is part of every vaginal delivery, so the ob-gyn will really need to make his case for this.
Related Articles
Ob-Gyn Coding Alert
- CPT® 2020 Update:
Sort Through Biofeedback, Flu Vaccine, and Fallopian Occlusion Confirmation Codes Before Jan. 1 Hits
If you’re using patient portals, you’ll rejoice at the inclusion of these new online codes. [...] - E/M Coding:
CPT® Panel Planning Big Changes for 2021 E/Ms
If you’re fond of 99201, get ready to be heartbroken. Outpatient evaluation and management (E/M) [...] - Obstetrics:
Here's How to Tack On Complication Visits to the Ob Package
Hint: You can report complications before or after delivery. You can receive increased reimbursement when [...] - You Be the Coder:
Excision of Cervical Septum
Question: Patient had a known septate uterus and vagina. After a vaginal delivery, the ob-gyn [...] - Reader Question:
Medical Necessity Crucial Component of Services Rendered
Question: Can you explain what definitions for medical necessity payers are working from? My practice [...] - Reader Question:
Avoid Adding Up ER and Office Visits
Question: If a patient was seen for an office visit (99214) first and then later [...]
