Decoding CPT Code 90834: A Complete Guide with Reimbursement Rates
September 13, 2024
(732) 520-8877
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(732) 520-8877
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As the field of medical coding continues to advance, healthcare providers need to stay updated with the latest CPT codes for gynecology. These procedures are crucial for accurately documenting rendered services, ensuring compliant billing, and obtaining full reimbursement for your practice. The Latest updates to gynecology CPT codes introduce several new codes and revisions to existing ones, reflecting the evolving nature of gynecological care.
Incorporating the latest CPT codes ensures compliance and enhances operational efficiency, providing practitioners with the most advanced and appropriate procedures. Ultimately, this leads to more efficient practice growth and better patient care. Let’s dive into more details.
You can thoroughly know the different categories of CPT codes frequently used in gynecology. These codes are essential for billing and ensure accurate reimbursement for services provided.
Following is the detailed list of office visits and consultations in gynecology CPT codes with descriptions in a table:
| CPT Codes | Description |
| 99202-99215 | Codes for office visits, range from brief problem-focused visits to comprehensive visits, considering patient history complexity and medical decision-making. |
| 99384-99387 | Annual wellness visits for new patients, including comprehensive preventive evaluation and management with appropriate history, examination, counseling, and lab/diagnostic procedures for ages 18-39. |
| 99394-99397 | Annual wellness visits for established patients, including comprehensive preventive evaluation and management with appropriate history, examination, counseling, and lab/diagnostic procedures for ages 18-39. |
| 99401-99404 | Preventive counseling and risk factor reduction interventions, such as contraceptive counseling or counseling for sexually transmitted infections. |
| 81025 | Urine pregnancy test. |
| 88164-88167 | Cervical cancer screening tests, such as Pap smears. |
Surgery codes cover various surgical procedures specific to gynecological care, including the removal of ovarian or fallopian structures.
| CPT Code | Description |
| 58150 | Total abdominal hysterectomy, including removal of the uterus and cervix. |
| 58570 | Laparoscopic total hysterectomy, including removal of the uterus and cervix. |
| 58956 | Unilateral (one-sided) oophorectomy is the surgical removal of an ovary. |
| 58700 | Surgical removal of one or both fallopian tubes (salpingectomy). |
| 58353 | The uterine lining (endometrium) can be destroyed using various techniques, such as thermal ablation or radiofrequency. |
| 58140 | Surgical removal of uterine fibroids (myomectomy). |
| 57421 | Removal of a small amount of tissue from the cervix for examination (cervical biopsy). |
Radiology codes in gynecology are used to perform detailed imaging studies of the female reproductive system to diagnose and monitor various conditions.
| CPT Code | Description |
| 76830 | Transvaginal ultrasound exam of the female pelvis, including the uterus, cervix, and ovaries. |
| 74740 | Hysterosalpingography is an X-ray procedure that evaluates the uterus and fallopian tubes with contrast dye. |
| 72195 | MRI scan of the pelvis, including the reproductive organs. |
| 72193 | CT scan of the pelvis, including the reproductive organs. |
Laboratory/pathology codes are crucial for diagnosing and monitoring gynecological conditions through detailed tissue analysis and laboratory evaluations.
| CPT Code | Description |
| 88141-88143 | Collection and interpretation of cervical or vaginal smears for the detection of abnormal cells (Pap smear). |
| 87624-87625 | Testing for the human papillomavirus (HPV) in women. |
| 87491, 87591, 87850, 87800 | Test for sexually transmitted infections (STIs) chlamydia and gonorrhea. |
| 76856 | Ultrasound examination of the female pelvic region, including the uterus, ovaries, and fallopian tubes. |
| 58100-58120 | Collection and interpretation of sample tissue of the uterus for diagnostic purposes (endometrial biopsy). |
| 58555, 58558 | Diagnostic or surgical hysteroscopy involves the insertion of a thin, lighted tube through the vagina and cervix to examine the uterus. |
Medicine codes in gynecology, various medical procedures, and interventions essential for comprehensive gynecological care.
| CPT Code | Description |
| 57420 | Colposcopy of the cervix, including biopsy of the cervix or endocervical curettage. |
| 58300 | Insertion of intrauterine device (IUD). |
| 58301 | Removal of intrauterine device (IUD). |
| 58661 | Laparoscopy, surgical; removal of adnexal structures (including tubes or ovaries). |
| 58563 | Hysteroscopy, surgical; with removal of leiomyomata (fibroids). |
| 58605 | Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method. |
| 58558 | Hysteroscopy is surgical with sampling (biopsy) of endometrium or polypectomy, with or without D&C. |
| 58555 | Hysteroscopy, surgical; with 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. |
New and revised Gynecology CPT Codes 2024 updates include endometrial ablation and laparoscopic hysterectomy, alongside revisions to office visits and hysteroscopy procedures, reflecting advancements in gynecological care.
| Category | CPT Code | Description |
| New Codes | 58356 | Endometrial ablation with ultrasound guidance: Allows for precise endometrial ablation procedures, improving patient outcomes and billing accuracy. |
| 58571 | Laparoscopic hysterectomy with bilateral salpingo-oophorectomy: Covers comprehensive surgical procedures, including the removal of both ovaries and fallopian tubes. | |
| 87636 | High-risk HPV DNA testing: Caters to advanced screening methods for high-risk HPV strains. | |
| Revised Codes | 99203-99215 | Office visit codes now include more detailed guidelines on documenting patient history and decision-making processes. |
| 58558 | Hysteroscopy with sampling (biopsy) of endometrium or polypectomy includes updated procedural techniques and equipment. | |
| 57460 | Colposcopy codes were revised to reflect newer methods and technologies used in lesion destruction. |
CPT codes 58957 and 88160 have been deactivated, with their procedures now covered under more comprehensive and specific new codes.
| Inactive CPT Code | Description | Replaced By |
| 58957 | Bilateral salpingo-oophorectomy is now combined into the new comprehensive code 58571. | 58571 |
| 88160 | Smear testing has been replaced by more advanced and specific codes. | Advanced and specific Pap smear codes |
Anticipated updates include new AI-assisted procedure codes, telecare services for gynecology, and advanced genetic testing codes, enhancing precision and preventive care.
Introduction of AI-Assisted Codes: Expect new CPT codes for AI-assisted gynecological procedures, enhancing precision and outcomes.
Telecare and Remote Monitoring Codes: With the rise of telehealth, new codes specific to gynecological telemedicine services are anticipated.
Advanced Genetic Testing Codes: New CPT codes for comprehensive genetic screening for gynecological cancers and hereditary conditions are expected to be introduced.
Enhanced Focus on Preventive Care: Codes related to advanced preventive measures, including new vaccines and screening tests, will likely be added.
Staying compliant with the latest CPT codes is essential for any gynecological practice. The 2024 updates reflect the evolving landscape of gynecological care, introducing new codes and revising existing ones to enhance accuracy in documentation and billing. By integrating these changes, practitioners can ensure compliance, improve operational efficiency, and ultimately provide better patient care. Continuous education and adaptation to these updates will support the growth and success of gynecological practices in the coming years.
