AMA CPT® Assistant - 2003 Issue 6 (June)

Surgery/Female Genital System (June 2003)

June 2003 page 11b Coding Consultation:Questions and Answers Female Genital System, 56821, 57421 (Q&A) Question A physician performed a colposcopy with biopsy of the vulva and colposcopy with biopsy of the cervix during the same session. How should this be reported? AMA Comment When multiple colposcopies are performed during the same session, each should be reported separately, to indicate that the colposcopies were performed at separate anatomic sites. Therefore, it would be appropriate to report both, code 56821, Colposcopy of the vulva; with biopsy (s), and 57421, Colposcopy of the entire vagina, with cervix if present; with biopsy(s)...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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