tci General Surgery Coding Alert - 2020 Issue Q2

You Be the Coder: Distinguish LEEP Procedures

Question: Our surgeon performed a colposcopy and used a loop electrocautery excision of cervical tissue. How should I code this? New Mexico Subscriber Answer: You don’t provide quite enough information to narrow down the code selection. You’re describing a loop electrosurgical excision procedure (LEEP), but what you’ve stated would lead to one of the following codes: 57460 (Colposcopy of the cervix including upper/ adjacent vagina; with loop electrode biopsy(s) of the cervix) 57461 (… with loop electrode conization of the cervix) You can see that the distinction between these two codes is whether the surgeon takes...

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