You’re describing a loop electrosurgical excision procedure (LEEP
The loop electrosurgical excision procedure is one of the most commonly used approaches to treat high grade cervical dysplasia discovered on colposcopic examination. In the UK, it is known as large loop excision of the transformation zone.
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The loop electrosurgical excision procedure is performed to cut out abnormal tissue in the cervix. When the LEEP is performed with no scope involved, the coders should use CPT 57522.
If your physician used the colposcope, you should bill 57461 (Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix) for the whole procedure. If the ob-gyn did not use a colposcope, 57522 covers the entire procedure.
Loop electrosurgical excision procedure (LEEP) uses a wire loop heated by electric current to remove cells and tissue in a woman's lower genital tract. It is used as part of the diagnosis and treatment for abnormal or cancerous conditions. The lower genital tract includes the cervix and vagina.
57461 (… with loop electrode conization of the cervix)
The appropriate ICD-9-CM code is 233.1 (CIN III/CIS/Severe Dysplasia). The appropriate ICD-10-CM code is D06.
N87. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
LEEP stands for Loop Electrosurgical Excision Procedure. It's a treatment that prevents cervical cancer. A small electrical wire loop is used to remove abnormal cells from your cervix. LEEP surgery may be performed after abnormal cells are found during a Pap test, colposcopy, or biopsy.
Colposcopy is a noninvasive procedure where a device similar to a microscope magnifies your cervix to make abnormal growth easier to see. LEEP is used to diagnose and treat cervical dysplasia and conditions like genital warts and polyps.
LEEP stands for loop electrosurgical excision procedure. It is also called large loop excision of the transformation zone, or LLETZ.
57454 and 57505 - it is inappropriate to report these procedures together. 58558 and 58120 - it is inappropriate to report these procedures together.
The performance of ECC is recommended during any LEEP performed for CIN2+; in particular, it should never be omitted if endocervical disease is suspected.
CCI indicates that this code combination is never allowed (modifier -59 is not allowed), but CCI always indicates this when the procedure is a "separate procedure" such as 57500. 3 specimens were sent to pathology: 1.) ECC 2.)