tci ED Coding & Reimbursement Alert - 2000 Issue 12

Reader Question: Foreign Body Removal Without Anesthesia

Question: How should I code for removal of a foreign body, vaginal, without anesthesia? The only code in CPT is with anesthesia 57415. Can we use the with anesthesia code with modifier -52 (reduced services)?Cora DicksonNashville, Tenn.Answer: Removal of an imbedded foreign body in the vagina without anesthesia should be coded using an evaluation and management (E/M) code. Using 57415 (removal of impacted vaginal foreign body [separate procedure] under anesthesia) would not be an accurate reporting of your services. Directly beneath 57415 is the instruction: For removal without anesthesia of an impacted vaginal foreign body, use the...

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