Urology Coding Alert

Reader Question:

Skip 57160 Without Fitting

Question: We are a urology office, and the doctor had a patient the other day with a vaginal prolapse, and he saw her as a new patient. He inserted a pessary for her. Is there a code for pessary placement? The local gynecologist states she simply bills for a follow up visit, not the pessary placement. My doctor did not fit the patient for the pessary. The patient brought it in with her, and he simply re-inserted it. How should I bill this service?West Virginia SubscriberAnswer: The local gynecologist is correctly coding for when she re-inserts a pessary. If the patient returns for the cleaning and reinsertion of the pessary, you should report the E/M code, depending on the examination and medical decision-making your physician documents in the chart. You would not include 57160 (Fitting and insertion of pessary or other intravaginal support device) on your claim. The [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Urology Coding Alert

View All