Coding Brief: New Code for Pelvic Examination (September 2024)

September 2024 page 21 Coding Brief: New Code for Pelvic Examination For the CPT 2024 code set, a new code (99459) was established to report pelvic examination in the Other Evaluation and Management Services subsection of the Evaluation and Management (E/M) section. A parenthetical note was added to direct users to the appropriate codes for this service. This coding brief provides an overview of code 99459 and its intent and use. Other Evaluation and Management Services  99459Pelvic examination (List separately in addition to code for primary procedure) (Use 99459 in conjunction with 99202, 99203, 99204, 99205, 99212, 99213, 99214...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This coding brief covers a CPT 2024 update involving pelvic examination reporting in the evaluation and management section. It is intended for coding professionals who need to understand the scope, placement, and general purpose of the new guidance, along with a brief clinical context and procedural overview.

Why This Topic Matters

The article helps readers identify how a new CPT reporting option fits into broader evaluation and management coding and why it was added to address service reporting concerns.

Article Sections

  1. September 2024 page 21

    Publication and issue information for the coding brief.

  2. Coding Brief: New Code for Pelvic Examination

    Overview of the CPT 2024 update and the general purpose of the brief.

  3. Other Evaluation and Management Services

    Placement of the update within the evaluation and management section and related reporting context.

  4. Clinical Example (99459) / Description of Procedure (99459)

    A brief illustrative scenario and associated procedural note for the add-on service.

What You Will Learn

  • How the article frames a CPT 2024 update related to pelvic examination reporting.
  • Where the discussed service fits within the evaluation and management section.
  • What general type of clinical context is used to illustrate the reporting update.
  • What supporting material is provided for the new add-on service.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Compliance professionals
  • Physician practice administrators

Codes Discussed

Code Ranges Discussed


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