Lina Posted Wed 22nd of February, 2017 16:08:39 PM
HI, I WOULD LIKE TO KNOW HOW OFTEN CAN WE BILL CPT CODE 57454?
SuperCoder Answered Thu 23rd of February, 2017 02:38:06 AM
CPT code 57454 is for colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage. The MUE value of the code is 1 which means this code can be billed only once per DOS. Billing more than one unit for the same DOS will lead to denial.
Also the global day indicator of this code is 000 which means endoscopic or minor procedure with related preoperative and postoperative relative values on the day of the procedure only included in the fee schedule payment amount; evaluation and management services on the day of the procedure generally not payable. This means E&M service will not get paid along with this procedure code unless and untill the addressed medical condition is different. E&M service will be considered inclusive.
Hope the provided information would be helpful.