dimplez
Contributor
Is it appropriate to report CPT 57410 and 58300 when done in the OR? NCCI edits do not bundle, but the chapters state:
1. When a pelvic examination is performed in conjunction with a gynecologic procedure, either as a necessary part of the procedure or as a confirmatory examination, the pelvic examination is not separately reportable. A diagnostic pelvic examination may be performed for the purpose of deciding to perform a procedure. This examination is included in the E&M service at the time the decision to perform the procedure is made.
3. Pelvic examination under anesthesia (CPT code 57410) is included in all major and most minor gynecological procedures and is not separately reportable. This procedure represents routine evaluation of the surgical field.
Source: https://www.cms.gov/files/document/chapter7cptcodes50000-59999final11.pdf
Beyond the above, I have nothing else to support NOT reporting CPT 57410? Does anyone else?
THX
1. When a pelvic examination is performed in conjunction with a gynecologic procedure, either as a necessary part of the procedure or as a confirmatory examination, the pelvic examination is not separately reportable. A diagnostic pelvic examination may be performed for the purpose of deciding to perform a procedure. This examination is included in the E&M service at the time the decision to perform the procedure is made.
3. Pelvic examination under anesthesia (CPT code 57410) is included in all major and most minor gynecological procedures and is not separately reportable. This procedure represents routine evaluation of the surgical field.
Source: https://www.cms.gov/files/document/chapter7cptcodes50000-59999final11.pdf
Beyond the above, I have nothing else to support NOT reporting CPT 57410? Does anyone else?
THX