Wiki CPT 57454 and CPT 57500??

[mkmgt001]

Can CPT 57500-59 be reported with CPT 57454 if the patient undergoes a cervical polypectomy along with a colposcopy with cervical biopsies & endocervical curettage or is the cervical polypectomy inclusive in the colposcopy code (57454)? CCI indicates that this code combination is never allowed (modifier -59 is not allowed), but CCI always indicates this when the procedure is a "separate procedure" such as 57500. 3 specimens were sent to pathology: 1.) ECC 2.) Cervix biopsies 3.) Cervix - endocervical polyps. I appreciate any opinions I can get. Thanks!

Mary Kittredge, MA, CPC

 

[jhbpine]

I am wondering the same thing. I have an encounter my provider did the colposcopy with biopsy (57454) and a polypectomy same session. 57500 excludes Radical surgical procedures (58200-58240), so I am also wondering if a modifier would be paid.

 

[csperoni]

I am wondering the same thing. I have an encounter my provider did the colposcopy with biopsy (57454) and a polypectomy same session. 57500 excludes Radical surgical procedures (58200-58240), so I am also wondering if a modifier would be paid.

57454 and 57500 are NCCI edits that cannot be overriden with a modifier.