Part B Insider (Multispecialty) Coding Alert
Find Out Whether You Can Report 57800 and 57454 Together
Question: Our doctor specifies that the cervical canal has to be dilated (57800) in order to complete colposcopy procedure (57454). Can both these codes be billed together for payment?
Answer: No, they cannot. The Correct Coding Initiative (CCI) permanently bundles 57800 (Dilation of cervical canal, instrumental [separate procedure]) into 57454 (Colposcopy of the cervix including upper/adjacent vagina; with biopsy[s] of the cervix and endocervical curettage).
Your only option is to add modifier 22 (Increased procedural services) to 57454 — but only if your physician’s documentation supports significant additional work in doing the dilation. He should also include the time it took over and above the usual procedure time.
Part B Insider (Multispecialty) Coding Alert
- Practice Management Special Issue:
Spearhead Your Denial Management Efforts With a 'Top 10' Rejections List
Sharing ‘Top 10’ information in physician-staff meetings can help eliminate thecause of your denials If [...] - Divide and Conquer Carriers to Solve Your Denial Woes
3 expert tips help you eliminate the root causes of your rejections Denial management is [...] - Billing:
Test Your Billing Skills With This Quiz
Think you have a handle on the barrage of billing rules for workers’ comp, motor [...] - Billing Quiz:
How Did You Fare on Our Billing Quiz?
Match your responses from the quiz against these answers. Did you take our quiz on page [...] - Physician Note:
Missouri Doctor Faces Sentence for Chronic Upcoding
Plus: Submit your suggestions on SNF therapy payments. A Missouri physician and her husband are [...] - In other news
If you have ideas about how CMS should pay for therapy services in skilled nursing [...] - Reader Question:
Find Out Whether You Can Report 57800 and 57454 Together
Question: Our doctor specifies that the cervical canal has to be dilated (57800) in order to [...] - Reader Question:
Know How to Code Toenail Excisions and Cauterizations
Question: A patient presents for a follow-up of an ingrown toenail. The physician finds that [...] - Contracts:
Weak Contract Negotiations Equal Weak Profits: Sharpen Both With 12 Tips
Hint: Establish a timeline for contract completion - and stick to it Non-Medicare insurance carriers [...]
