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CPT changes focus on gynecologic procedures: new series of codes adds greater specificity. (Additional Endoscopy, Colposcopy Codes).
For those wondering about the biggest coding change in the 2003 Current Procedural Terminology (CPT) codes, look no further than the gynecologic procedure section.
Several changes have been made to the pelvic endoscopy codes, explained Lisa Stavrakas, consultant to the Medical Group Management Association. "New series of codes were created to reflect the focus of the specific anatomic sites involved. Endoscopy codes were added to three subsections of the CPT code set; vulva (56820, 56821), vagina (57420, 57421), and cervix uteri (57452, 57454, 57455, 57456, 57460, and 57461)" said Ms. Stavrakas of Colorado Springs.
Below is a brief overview of the changes mentioned.
The CPT Editorial Panel has added similar codes for vaginal colposcopy procedure: 57420 (colposcopy of the entire vagina, with cervix if present) as well as 57421 (colposcopy of the entire vagina, with cervix if present, with biopsy[s]).
The panel left intact code 57452 (endoscopy of the cervix including the upper/adjacent vagina) but added code 57455, which is the same definition but with cervical biopsy(s) added. Code 57454 (cervical endoscopy with biopsy[s] of the cervix and endocervical curettage) was left intact, but code 57456 (cervical endoscopy with endocervical curettage) was added. "Prior to 2003, code 57454 was an and/or situation," she explained.
Other changes were made in the endoscopy section, Ms. Stavrakas explained.
This includes code 57460 (previously for endoscopy of the cervix including the upper/adjacent vagina with loop electrode excision procedure of the cervix) has been changed to read "endoscopy of the cervix ... with loop electrode biopsy(s) of the cervix.
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