CPT® Code 57522 Conization of cervix; loop electrode excision

Hi. I am in an HIT program in a community college. The question I have is in regard to CPT® code 57522.

The case study shows that two lesions were excised. One of the lesions was on the anterior cervix, the second was described as just "cervical"; so it is the same body part. There is no code that indicates the number of lesions excised.

I do not know how to "capture" the two lesions, or if it is appropriate to do so. I do not see guidance for this in the CPT® manual or the handbook.

Thanks in advance!

Kim

Oct 10th, 2012 - nmaguire 2,606

re: CPT® Code 57522 Conization of cervix; loop electrode excision

For Medicare, this can only be billed "1" unit for a date of service.

Oct 10th, 2012 - youngblood 278

re: CPT® Code 57522 Conization of cervix; loop electrode excision

Loop conization (LEEP) removes and cauterizes a cone shaped section of the cervix. Both lesions could easily be included in the tissue removed (during one procedure). Therefore, one unit.
http://www.atlasofpelvicsurgery.com/4Cervix/4ConizationoftheCervixbytheLoop/chap4sec4.html

Oct 15th, 2012 - KimS 4

re: CPT® Code 57522 Conization of cervix; loop electrode excision

Thank you for the link! Awesome website! It is now included in my favorites.

Now that I have read the specifics of the procedure, I understand that this procedure is designed to remove all abnormal tissue found in the cervix and cervical canal.

Oct 15th, 2012 - KimS 4

re: CPT® Code 57522 Conization of cervix; loop electrode excision

Thank you for the information regarding CMS rules.