Comprehensive Guide on CPT Codes for Gynecology

1
(No Transcript)
2
Comprehensive Guide on CPT Codes for Gynecology
CPT Codes for Gynecology Current Procedural
Terminology CPT codes for gynecology are
classified into several categories based on the
type of procedure performed. Its divided in main
categories as Evaluation and Management (E/M)
codes surgery codes radiology codes
laboratory/pathology codes and medicine codes.
These codes cover a wide range of services
related to gynecology care, including diagnostic
procedures, surgeries, and other treatments. We
shared commonly used CPT codes under these main
categories. Providing a complete list of CPT
codes for gynecology is not possible due to
copyright constraints. Note that the American
Medical Association (AMA) holds the copyright for
Current Procedural Terminology (CPT) codes. If
you are looking for coding and billing assistance
for gynecology or OB/GYN then email us
at info_at_medicalbillersandcoders.com or call us
at 888-357-3226. Categories of CPT Codes for
Gynecology 1. Evaluation and Management (E/M)
Codes
3
Comprehensive Guide on CPT Codes for Gynecology
Image Source Evaluation and
Management (E/M) codes are used by healthcare
providers to report and bill for office visits
and other outpatient services. In gynecology,
these codes are used to document and report
services related to the evaluation and management
of women's reproductive health.   Following are
some common E/M codes used in gynecology
4
Comprehensive Guide on CPT Codes for Gynecology

• 9920-99215 These codes are used to bill for
  office visits, ranging from a brief
  problem-focused visit to a comprehensive visit.
  These codes take into account factors such as the
  complexity of the patient's medical history and
  the level of medical decision-making required.
• 99384-99387 These codes are used for annual
  wellness visits for new patients, ranging from a
  comprehensive preventive evaluation and
  management of an individual, including an age and
  gender-appropriate history, examination,
  counseling/anticipatory guidance/risk factor
  reduction interventions, and the ordering of
  appropriate laboratory/diagnostic procedures, new
  patient 18-39 years old, including
  counseling/anticipatory guidance/risk factor
  reduction interventions.
• 99394-99397 These codes are used for annual
  wellness visits for established patients, ranging
  from a comprehensive preventive evaluation and
  management of an individual, including an age and
  gender-appropriate history, examination,
  counseling/anticipatory guidance/risk factor
  reduction interventions, and the ordering of
  appropriate laboratory/diagnostic procedures,
  established patient 18-39 years old, including
  counseling/anticipatory guidance/risk factor
  reduction interventions.
• 99401-99404 These codes are used to bill for
  preventive counseling and risk factor reduction
  interventions, such as contraceptive counseling
  or counseling for sexually transmitted
  infections.
• 81025 This code is used for a urine pregnancy
  test.
• 88164-88167 These codes are used for cervical
  cancer screening tests, such as a Pap smear.

5
Comprehensive Guide on CPT Codes for Gynecology

• The specific E/M codes used will depend on the
  individual patient's circumstances and the
  services provided during the visit. It's also
  important to ensure accurate and appropriate
  documentation to support the use of these codes.
• 2. Surgery Codes
• Surgery codes are used for surgical procedures,
  such as hysterectomies, laparoscopies, and
  dilation and curettage (DC) procedures. They are
  categorized based on the type of procedure and
  the approach used, such as vaginal or abdominal.
•  
• Following are some examples of surgery procedure
  codes related to gynecology
• Hysterectomy CPT code 58150. This code is used
  for a total abdominal hysterectomy, including the
  removal of the uterus and cervix.
• Laparoscopic hysterectomy CPT code 58570. This
  code is used for a laparoscopic total
  hysterectomy, including the removal of the uterus
  and cervix.
• Oophorectomy CPT code 58956. This code is used
  for a unilateral (one side) oophorectomy, which
  is the surgical removal of an ovary.

6
Comprehensive Guide on CPT Codes for Gynecology

• Salpingectomy CPT code 58700. This code is used
  for the surgical removal of one or both fallopian
  tubes.
• Endometrial ablation CPT code 58353. This code
  is used for the destruction of the uterine lining
  (endometrium) using various techniques, such as
  thermal ablation or radiofrequency.
• Myomectomy CPT code 58140. This code is used for
  the surgical removal of uterine fibroids.
• Cervical biopsy CPT code 57421. This code is
  used for the removal of a small amount of tissue
  from the cervix for examination.
• These are just a few examples of the surgery
  procedure codes related to gynecology. There are
  many more codes for other procedures, such as
  colposcopy, dilation and curettage, and pelvic
  reconstructive surgery, among others.
• 3. Radiology Codes
• Image Source

7
Comprehensive Guide on CPT Codes for Gynecology

• Radiology codes are used for imaging studies,
  such as ultrasounds and mammograms. They are
  categorized based on the type of imaging study
  and the area of the body being studied.
•  
• Common radiology codes related to gynecology
  include
• Transvaginal Ultrasound (76830) This code is
  used to describe an ultrasound exam of the female
  pelvis, including the uterus, cervix, and
  ovaries. It is commonly used to evaluate
  conditions such as uterine fibroids, ovarian
  cysts, and endometrial cancer.
• Hysterosalpingography (74740) This code is used
  to describe an X-ray procedure that evaluates the
  uterus and fallopian tubes. It involves the
  injection of a contrast dye into the uterus,
  followed by X-ray imaging to evaluate the flow of
  the dye through the reproductive tract. This
  procedure is commonly used to evaluate
  infertility and to diagnose conditions such as
  blocked fallopian tubes.
• Magnetic Resonance Imaging (MRI) Pelvis
  (72195) This code is used to describe an MRI
  scan of the pelvis, including the reproductive
  organs. It is commonly used to evaluate
  conditions such as ovarian cancer, endometriosis,
  and pelvic inflammatory disease.
• Computed Tomography (CT) Pelvis (72193) This
  code is used to describe a CT scan of the pelvis,
  including the reproductive organs. It is commonly
  used to evaluate conditions such as ovarian
  cancer, uterine fibroids, and pelvic inflammatory
  disease.

8
Comprehensive Guide on CPT Codes for Gynecology

• These are just a few examples of radiology procedu
  re codes related to gynecology. There are many
  others that may be used depending on the specific
  imaging study and condition being evaluated.
• 4. Laboratory/Pathology Codes
• Laboratory/pathology codes are used for
  laboratory tests and pathology studies, such as
  pap smears and biopsies. They are categorized
  based on the type of test or study being
  performed.
•   
• Following are some common laboratory/pathology
  procedure codes related to gynecology
• Pap smear (88141, 88142, and 88143) These codes
  are used to report the collection and
  interpretation of cervical or vaginal smears for
  the detection of abnormal cells.
• HPV testing (87624, 87625) These codes are used
  to report the testing for the human
  papillomavirus (HPV) in women.
• Chlamydia and Gonorrhea testing (87491, 87591,
  87850, and 87800) These codes are used to report
  the testing for sexually transmitted infections
  (STIs) chlamydia and gonorrhea.

9
Comprehensive Guide on CPT Codes for Gynecology

• Pelvic ultrasound (76856) This code is used to
  report an ultrasound examination of the female
  pelvic region, including the uterus, ovaries, and
  fallopian tubes.
• Endometrial biopsy (58100, 58110, and
  58120) These codes are used to report the
  collection and interpretation of a sample of
  tissue from the lining of the uterus for
  diagnostic purposes.
• Hysteroscopy (58555, and 58558) These codes are
  used to report a diagnostic or surgical procedure
  that involves inserting a thin, lighted tube
  through the vagina and cervix to examine the
  uterus.
• It's important to note that these codes may vary
  depending on the specific tests or procedures
  performed and the payer requirements.
• 5. Medicine Codes
• Image Source

10
Comprehensive Guide on CPT Codes for Gynecology
Medical procedures related to gynecology can
include diagnostic tests, surgeries, and other
interventions. These procedures are often
assigned a specific code for billing and
record-keeping purposes.   Here are some examples
of medicine procedure codes related to
gynecology 57420 Colposcopy of the cervix,
including biopsy of the cervix or endocervical
curettage 58300 Insertion of intrauterine device
(IUD) 58301 Removal of the intrauterine device
(IUD) 58661 Laparoscopy, surgical with the
removal of adnexal structures (including tubes or
ovaries) 58563 Hysteroscopy, surgical with the
removal of leiomyomata (fibroids) 58605 Laparosco
py, surgical with fulguration or excision of
lesions of the ovary, pelvic viscera, or
peritoneal surface by any method 58558 Hysterosco
py, surgical with sampling (biopsy) of
endometrium and/or polypectomy, with or without
DC 58555 Hysteroscopy, surgical with the
removal of impacted foreign body 58970 Fetal
monitoring, non-stress test 57454 Colposcopy of
the vulva with biopsy 57460 Colposcopy of the
vulva with destruction of lesion(s) by any method
11
Comprehensive Guide on CPT Codes for Gynecology
It's important to note that these codes may vary
depending on the specific procedure, the
location, and the individual patient's
needs. You will required certified and
experienced coder for accurate use of CPT codes
for gynecology. Note that the American Medical
Association (AMA) updates the CPT codes annually,
so the categories and codes may change over time.
Additionally, insurance companies may have their
own coding systems and guidelines for
reimbursement. It's always a good idea to check
with the insurance company to confirm which codes
are appropriate for your specific
situation. Medical Billers and Coders (MBC) is a
leading revenue cycle management company
providing complete medical billing and coding
services. We understand the unique needs of
OB/GYN practices and provide tailored billing
services to meet your specific requirements. We
have a team of experienced coders and billers who
are trained in OB/GYN coding, billing, denial
management and accounts receivable. Our OB/GYN
billing services include everything from claims
submission, and denial management to patient
billing and even provider credentialing. We have
a proven track record of success and a commitment
to providing high-quality services that meet the
unique needs of each practice. To know more about
our OB/GYN billing and coding services, email us
at info_at_medicalbillersandcoders.com or call us
at 888-357-3226.