by Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
March 7th, 2017
If a procedure such as an excision of a polyp took significant additional time, work, and effort, you could append modifier 22 (unusual procedural service) to add to your fee when using 58100 "Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)."
If a coloposcopy is performed in conjunction, use 58110 in addition to the primary procedure.
Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure).
NOTE: 58110 cannot be billed alone as it is to be billed in addition to the primary procedure.