Lucheena
Networker
A patient had a colposcopy, CPT 57454, with Dx code 795.04. Bx comes back showing severe dysplasia. Patient returns to office in two weeks to go over test results & talk about next step in treatment/follow up. How do you code this return visit? We have been coding it as 99213 with the biopsy Dx, but there is no exam done so I thought about 99401 but not sure what Dx to use. Help...