ÁFIDOS O PULGONES

Procedure Codes Payable for 08/527 FQHC Billing non_FQHC Services Physician Services - Non-Mental Health

PROSPECTIVE: FTC 21, 22, 23, 24, 25, 31, & 32 (7/1/2014-12/31/2299) All codes in Table

RETROSPECTIVE: Facility type code (FTC) 21 ONLY (1/1/2012 - 06/30/2014)

Procedure

Code Proc description

11976 Remove contraceptive capsule

11981 Insertion non-biodegradable drug delive 11982 Remove drug implant device

11983 Remove/insert drug implant

49000 Exploratory laparotomy exploratory celi 49255 Omentectomy epiploectomy resection of 49320 Laparoscopy abdomen peritoneum and om 49321 Laparoscopy biopsy

49322 Laparoscopy aspiration

Table

RETROSPECTIVE: Facility type code (FTC) 21 ONLY (1/1/2012 - 06/30/2014)

Procedure

Code Proc description

56420 Drainage of gland abscess 56440 Surgery for vulva lesion 56441 Lysis of labial adhesions 56442 Hymenotomy simple incision 56501 Destroy vulva lesions sim

56515 Destruction of lesion(s) vulva; extensi 56605 Biopsy of vulva or perineum (separate pr 56606 Biopsy of vulva or perineum (separate pr 56620 Vulvectomy simple; partial

56625 Vulvectomy simple; complete 56630 Vulvectomy radical partial;

56631 Vulvectomy radical partial; with unila 56632 Vulvectomy radical partial; with bilat 56633 Vulvectomy radical complete;

56634 Vulvectomy radical complete; with unil 56637 Vulvectomy radical complete; with bila 56640 Vulvectomy radical complete with ingu 56700 Partial hymenectomy or revision of hymen 56740 Remove vagina gland lesion

56800 Plastic repair of introitus 56805 Clitoroplasty for intersex state

56810 Perineoplasty repair of perineum nonob 56820 Colposcopy of the vulva;

56821 Colposcopy of the vulva; with biopsy(s) 57000 Colpotomy; with exploration

57010 Colpotomy; with drainage of pelvic absce 57020 Colpocentesis (separate procedure) 57022 I & d vaginal hematoma pp

57023 I & d vag hematoma non-ob 57061 Destroy vag lesions simple 57065 Destroy vag lesions complex

Table

RETROSPECTIVE: Facility type code (FTC) 21 ONLY (1/1/2012 - 06/30/2014)

Procedure

Code Proc description

57100 Biopsy of vaginal mucosa; simple (separa 57105 Biopsy of vaginal mucosa; extensive req 57106 Remove vagina wall partial

57107 Remove vagina tissue part

57109 Vaginectomy partial removal of vaginal 57110 Remove vagina wall complete

57111 Remove vagina tissue compl 57112 Vaginectomy w/nodes compl 57120 Colpocleisis (le fort type) 57130 Excision of vaginal septum 57135 Excision of vaginal cyst or tumor 57150 Irrigation of vagina and/or application 57155 Insert uteri tandem/ovoids

57156 Ins vag brachytx device

57160 Fitting and insertion of pessary or othe 57170 Diaphragm or cervical cap fitting with i 57180 Introduction of any hemostatic agent or 57200 Colporrhaphy suture of injury of vagina 57210 Colpoperineorrhaphy suture of injury of 57220 Plastic operation on urethral sphincter 57230 Plastic repair of urethrocele

57240 Anterior colporrhaphy repair of cystoce 57250 Posterior colporrhaphy repair of rectoc 57260 Combined anteroposterior colporrhaphy; 57265 Combined anteroposterior colporrhaphy; w 57267 Insertion of mesh or other prosthesis fo 57268 Repair of enterocele vaginal approach ( 57270 Repair of enterocele abdominal approach 57280 Colpopexy abdominal approach

57282 Colpopexy extraperitoneal 57283 Colpopexy intraperitoneal

Table

RETROSPECTIVE: Facility type code (FTC) 21 ONLY (1/1/2012 - 06/30/2014)

Procedure

Code Proc description

57284 Repair paravag defect open 57285 Repair paravag defect vag

57287 Removal or revision of sling for stress 57288 Sling operation for stress incontinence 57289 Pereyra procedure including anterior co 57291 Construction of artificial vagina; witho 57292 Construction of artificial vagina; with 57295 Revise vag graft via vagina

57296 Revise vag graft open abd

57300 Closure of rectovaginal fistula; vaginal 57305 Closure of rectovaginal fistula; abdomen 57307 Closure of rectovaginal fistula; abdomen 57308 Fistula repair transperine

57310 Closure of urethrovaginal fistula; 57311 Closure of urethrovaginal fistula; with 57320 Closure of vesicovaginal fistula; vagina 57330 Closure of vesicovaginal fistula; transv 57335 Vaginoplasty for intersex state

57400 Dilation of vagina 57410 Pelvic examination

57415 Remove vaginal foreign body

57420 Colposcopy of the entire vagina with ce 57421 Colposcopy of the entire vagina with ce 57423 Repair paravag defect lap

57425 Laparoscopy surg colpopexy 57426 Revise prosth vag graft lap

57452 Colposcopy (vaginoscopy); (separate proc 57454 Colposcopy (vaginoscopy); with biopsy(s) 57455 Colposcopy of the cervix including upper 57456 Colposcopy of the cervix including upper 57460 Bx of cervix w/scope leep

Table

RETROSPECTIVE: Facility type code (FTC) 21 ONLY (1/1/2012 - 06/30/2014)

Procedure

Code Proc description

57461 Conz of cervix w/scope leep 57500 Biopsy of cervix

57505 Endocervical curettage (not done as part 57510 Cautery of cervix; electro or thermal 57511 Cauterization of cervix; cryocautery in 57513 Cauterization of cervix; laser ablation/ 57520 Conization of cervix with or without fu 57522 Conization of cervix with or without fu 57530 Trachelectomy (cervicectomy) amputation 57531 Removal of cervix radical

57540 Excision of cervical stump abdominal ap 57545 Excision of cervical stump abdominal ap 57550 Excision of cervical stump vaginal appr 57555 Excision of cervical stump vaginal appr 57556 Remove cervix repair bowel

57558 Dilation and curettage of cervical stump 57700 Cerclage of uterine cervix nonobstetric 57720 Trachelorrhaphy plastic repair of uteri 57800 Dilation of cervical canal instrumental 58100 Endometrial sampling (biopsy) with or wi 58110 Endometrial sampling (biopsy) performed 58120 Dilation and curettage diagnostic and/o 58140 Myomectomy abdom method

58145 Myomectomy vag method

58146 Myomectomy excision of fibroid tumor(s) 58150 Total abdominal hysterectomy (corpus and 58152 Total abdominal hysterectomy (corpus and 58180 Supracervical abdominal hysterectomy (su 58200 Total abdominal hysterectomy including 58210 Radical abdominal hysterectomy with bil 58240 Pelvic exenteration for gynecologic mali

Table

RETROSPECTIVE: Facility type code (FTC) 21 ONLY (1/1/2012 - 06/30/2014)

Procedure

Code Proc description

58260 Vaginal hysterectomy for uterus 250 gra 58262 Vaginal hysterectomy for uterus 250 gra 58263 Vaginal hysterectomy for uterus 250 gra 58267 Vaginal hysterectomy for uterus 250 gra 58270 Vaginal hysterectomy for uterus 250 gra 58275 Vaginal hysterectomy with total or part 58280 Vaginal hysterectomy with total or part 58285 Vaginal hysterectomy radical (schauta t 58290 Vaginal hysterectomy for uterus greater 58291 Vag hyst incl t/o complex

58292 Vag hyst t/o & repair compl 58293 Vag hyst w/uro repair compl 58294 Vag hyst w/enterocele compl 58300 Insertion of intrauterine device (iud) 58301 Removal of intrauterine device (iud) 58340 Catheterization and introduction of sali 58345 Transcervical introduction of fallopian 58346 Insertion of heyman capsules for clinica 58350 Chromotubation of oviduct including mat 58353 Endometr ablate thermal

58356 Endometrial cryoablation with ultrasonic 58400 Uterine suspension with or without shor 58410 Uterine suspension with or without shor 58520 Hysterorrhaphy repair of ruptured uteru 58540 Hysteroplasty repair of uterine anomaly 58541 Lsh uterus 250 g or less

58542 Laparoscopy surgical supracervical hys 58543 Laparoscopy surgical supracervical hys 58544 Laparoscopy surgical supracervical hys 58545 Laparoscopy surgical myomectomy excis 58546 Laparo-myomectomy complex

Table

RETROSPECTIVE: Facility type code (FTC) 21 ONLY (1/1/2012 - 06/30/2014)

Procedure

Code Proc description

58548 Laparoscopy surgical with radical hyst 58550 Laparoscopy surgical with vaginal hyste 58552 Laparoscopy surgical with vaginal hyste 58553 Laparo-vag hyst complex

58554 Laparo-vag hyst w/t/o compl 58555 Hysteroscopy dx sep proc 58558 Hysteroscopy biopsy 58559 Hysteroscopy lysis

58560 Hysteroscopy resect septum 58561 Hysteroscopy remove myoma 58562 Hysteroscopy remove fb 58563 Hysteroscopy ablation 58565 Hysteroscopy sterilization 58570 Tlh uterus 250 g or less 58571 Tlh w/t/o 250 g or less 58572 Tlh uterus over 250 g 58573 Tlh w/t/o uterus over 250 g 58578 Laparo proc uterus

58579 Unlisted hysteroscopy procedure uterus 58600 Ligation or transection of fallopian tub 58605 Ligation or transection of fallopian tub 58611 Ligation or transection of fallopian tub 58615 Occlusion of fallopian tube(s) by device 58660 Laparoscopy lysis

58661 Laparoscopy remove adnexa 58662 Laparoscopy excise lesions 58670 Laparoscopy tubal cautery 58671 Laparoscopy tubal block 58672 Laparoscopy fimbrioplasty 58673 Laparoscopy salpingostomy 58679 Laparo proc oviduct-ovary

Table

RETROSPECTIVE: Facility type code (FTC) 21 ONLY (1/1/2012 - 06/30/2014)

Procedure

Code Proc description

58700 Salpingectomy complete or partial unil 58720 Salpingo-oophorectomy complete or parti 58740 Adhesiolysis tube ovary

58750 Tubotubal anastomosis 58752 Tubouterine implantation 58760 Fimbrioplasty

58770 Salpingostomy (salpingoneostomy) 58800 Drainage of ovarian cyst(s) unilateral 58805 Drainage of ovarian cyst(s) unilateral 58820 Drain ovary abscess open

58822 Drain ovary abscess percut 58825 Transposition ovary(s)

58900 Biopsy of ovary unilateral or bilateral 58920 Wedge resection or bisection of ovary u 58925 Ovarian cystectomy unilateral or bilate 58940 Oophorectomy partial or total unilater 58943 Oophorectomy partial or total unilater 58950 Resection (initial) of ovarian tubal or 58951 Resection of ovarian malignancy with bil 58952 Resection of ovarian tubal or primary p 58953 Tah rad dissect for debulk

58954 Bilateral salpingo-oophorectomy with ome 58956 Bso omentectomy w/tah

58957 Resection (tumor debulking) of recurrent 58958 Resection (tumor debulking) of recurrent 58960 Laparotomy for staging or restaging of 58999 Unlisted procedure female genital syste 59000 Amniocentesis diagnostic

59001 Amniocentesis therapeutic 59012 Fetal cord puncture prenatal

Table

RETROSPECTIVE: Facility type code (FTC) 21 ONLY (1/1/2012 - 06/30/2014)

Procedure

Code Proc description

59020 Fetal contraction stress test 59025 Fetal non-stress test 59030 Fetal scalp blood sampling

59050 Fetal monitoring during labor by consult 59051 Fetal monitoring during labor by consult 59070 Transabdominal amnioinfusion including 59072 Fetal umbilical cord occlusion includin 59074 Fetal fluid drainage (eg vesicocentesis 59076 Fetal shunt placement w/us

59100 Hysterotomy abdominal (eg for hydatidi 59120 Surgical treatment of ectopic pregnancy; 59121 Surgical treatment of ectopic pregnancy; 59130 Surgical treatment of ectopic pregnancy; 59135 Surgical treatment of ectopic pregnancy; 59136 Surgical treatment of ectopic pregnancy; 59140 Surgical treatment of ectopic pregnancy; 59150 Laparoscopic treatment of ectopic pregna 59151 Laparoscopic treatment of ectopic pregna 59160 Curettage postpartum/currettage postpa 59200 Insertion of cervical dilator (eg lamin 59320 Cerclage of cervix during pregnancy; va 59325 Cerclage of cervix during pregnancy; ab 59350 Hysterorrhaphy of ruptured uterus 59409 Vaginal delivery only (with or without e 59410 Vaginal delivery only (with or without e 59412 External cephalic version with or witho 59414 Delivery of placenta (separate procedure 59425 Antepartum care only; 4-6 visits

59426 Antepartum care only; 7 or more visits 59514 Cesarean delivery only;

Table

RETROSPECTIVE: Facility type code (FTC) 21 ONLY (1/1/2012 - 06/30/2014)

Procedure

Code Proc description

59525 Subtotal or total hysterectomy after ces 59612 Vaginal delivery only after previous ce 59614 Vaginal delivery only after previous ce 59620 Cesarean delivery only following attemp 59622 Cesarean delivery only following attemp 59812 Treatment of incomplete abortion any tr 59820 Treatment of missed abortion completed 59821 Treatment of missed abortion completed 59830 Treatment of septic abortion completed 59840 Induced abortion by dilation and curett 59841 Induced abortion by dilation and evacua 59850 Induced abortion by one or more intra-a 59851 Induced abortion by one or more intra-a 59852 Induced abortion by one or more intra-a 59855 Induced abortion by one or more vaginal 59856 Induced abortion by one or more vaginal 59857 Induced abortion by one or more vaginal 59866 Multifetal pregnancy reduction(s) (mpr) 59870 Uterine evacuation and curettage for hyd 59871 Removal of cerclage suture under anesthe 59897 Fetal invas px w/us

59898 Laparo proc ob care/deliver

59899 Unlisted procedure maternity care and d

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Table 8: Physician Office and Outpatient fee schedule procedure