MSP Billing Codes

Specialty: Obstetrics Gynecology

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Code	Description	Anes	Fee
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Abdominal Operations
04208	Ectopic pregnancy	5	$500.91
04217	Hemorrhage - post op (intra-abdominal management)	6	$458.49
04228	Hysterectomy - total	5	$736.94
04709	Hysterectomy-laparoscopic total/supracerv&/or lavh	5	$980.80
04204	Hysterotomy - abdominal with/without sterilization	5	$358.76
04707	Laparoscopic sacrocolpopexy	5	$980.80
04001	Laparoscopy	4	$229.25
04203	Myomectomy	5	$500.91
04216	Neurectomy presacral	5	$418.08
04003	Oophorectomy/salpingectomy	5	$358.76
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04201	Ovarian cystectomy	5	$447.72
04229	Removal of complicated pelvic disease	6	$754.70
04230	Sterilization - abdominal-open	4	$356.60
04206	Suspension of uterus	4	$240.19
04605	Vault prolapse	5	$748.87
Abdominal Operations for Cancer
04011	Ca ovary/ fallopian tubes	6	$1,011.82
04218	Hysterectomy - radical	6	$1,102.00
04029	Omentectomy/removal of soft-tissue mass	5	$358.76
04219	Para-aortic lymphadenectomy	6	$595.90
04220	Para-aortic lymphadenectomy - partial	5	$263.91
04212	Pelvic lymphadenectomy	6	$595.90
04628	Removal of extrapelvic soft tissue mass > 10 cm	5	$509.44
04630	Removal of extrapelvic soft tissue mass > 10 cm	3	$474.13
04631	Removal of extrapelvic soft tissue mass > 10 cm	3	$711.19
04632	Removal of extrapelvic soft tissue mass > 10 cm	3	$356.60
04633	Removal of extrapelvic soft tissue mass > 10 cm	3	$407.55
04640	Removal of extrapelvic soft tissue mass > 10 cm	3	$474.13
04641	Removal of extrapelvic soft tissue mass > 10 cm	3	$711.19
Diagnostic Ultrasound
08652	B scan i.u.d. localization	0	$55.31
08657	Chorionic villus sampling for ultrasonic guidance	0	$110.68
04680	Guided amniocentesis	0	$168.11
86051	Obs b scan (14 wks gestation or over)- add fetuses	0	$81.91
08651	Obs. - b-scan - 14 wks. or more for singles	0	$110.08
08655	Obs. b-scan - less than 14 wks.	0	$82.58
08653	Pelvic b scan - non-obstetrical	0	$110.08
Hysteroscopy - Surgical
04224	Endometrial ablation	2	$455.19
04222	Hysteroscopic div of intrauterine adhesions-comp	2	$350.88
04221	Hysteroscopic div of intrauterine adhesions-simple	2	$210.53
04225	Hysteroscopic division of uterine septum	2	$344.52
04226	Hysteroscopic tubal occlusion (bilateral)	0	$195.31
04223	Resection of myoma	2	$455.19
Laboratory Services
15142	Trichomonas and / or candida, direct examination	0	$5.69
Laparoscopic Operations
04040	Cautery of endometriosis	4	$76.07
04664	Ectopic pregnancy - removal via scope.	4	$342.55
04047	Excision of extensive peritoneal endometriosis	6	$428.14
04662	Laparoscopy - removal of foreign body	4	$155.00
04042	Oophorectomy and/or salpingectomy-bilateral	5	$365.56
04041	Oophorectomy and/or salpingectomy-unilateral	5	$184.68
04043	Ovarian cystectomy - unilateral	5	$293.25
04044	Ovarian cystectomy-bilateral	5	$546.59
04046	Presacral neurectomy	4	$210.57
04048	Removal of complicated pelvic disease-laparoscopic	6	$548.82
04035	Salpingolysis via laparoscope - bilateral	4	$174.37
04034	Salpingolysis via laparoscopy - unilateral	4	$90.48
04037	Salpingostomy via laparoscopy - bilateral	4	$374.55
04036	Salpingostomy via laparoscopy - unilateral	4	$189.23
04660	Tubal interruption (sterilization )	4	$92.00
04045	Ventral suspension of uterus	4	$151.29
Laser Vaporization
04620	Cervical neoplasia	2	$200.00
04623	Extensive vulvar and/or vaginal condyl. under g.a.	2	$254.72
04621	Vaginal neoplasia with or without g.a.	2	$200.00
04622	Vulvar condylomata	2	$200.00
04624	Vulvar intraepithelial lesion diffuse w/ perianal	2	$407.55
04625	Vulvar intraepithelial lesion/diffuse multifocal	2	$407.55
Micro-Surgical Operations
04617	Micro salpingostomy - bilateral	5	$800.77
04616	Micro salpingostomy -unilateral	5	$616.67
04602	Salpingolysis - unilateral/bilateral	5	$447.72
04627	Tubo-cornual anastomosis - bilateral (micro)	5	$1,159.11
04626	Tubo-cornual anastomosis - unilateral (micro)	5	$892.33
Obstetrical Procedures
04024	4th degree laceration - repair	3	$290.53
04018	Breech vaginal birth	4	$585.77
04025	C-section - high risk	6	$651.28
04106	Caesarean hysterectomy	8	$928.39
04050	Caesarean section - elective	5	$500.99
04052	Caesarean section - emergency	6	$561.10
04093	Caesarean section multiple births, each additional	0	$82.15
04023	Cervical /vaginal lacerations	3	$240.44
04000	Complicated vaginal delivery	4	$375.70
04116	Curettage for post-partum haemorrhage (> 20 weeks)	3	$254.72
04049	External cephalic version	0	$152.83
04118	Induc. or stim. of labour by oxytocin - 1st hour	0	$41.98
04119	Induc. or stim. of labour by oxytocin - subs. hrs	0	$28.93
04141	Induc. or stim. of labour by oxytocin - subs. hrs	4	$320.00
04142	Induc. or stim. of labour by oxytocin - subs. hrs	3	$140.00
04190	Induc. or stim. of labour by oxytocin - subs. hrs	0	$84.95
04191	Induc. or stim. of labour by oxytocin - subs. hrs	0	$31.81
04194	Induc. or stim. of labour by oxytocin - subs. hrs	0	$31.81
04080	Insertion of multiple osmotic dilators with block	0	$152.83
04039	Management of complicated labour by obstetrician	0	$667.15
04014	Midcavity forceps - delivery	4	$450.87
04017	Midcavity rotation - surgical delivery	4	$551.03
04092	Multiple natural births - each additional child	0	$161.31
04038	Repeat intrapartum assess by consultant at request	0	$222.21
04026	Retained placenta - manual removal	3	$240.44
04022	Sphincter repair - external	3	$240.44
04107	Supervision of labour and vaginal delivery	5	$200.27
04110	Therapeutic abortion (vaginal) 14 - 18 weeks	2	$250.41
04111	Therapeutic abortion (vaginal) less than 14 weeks	2	$203.77
04114	Therapeutic abortion by d&e, 18 wks and over	3	$356.60
Operations on the Vagina
04402	Abscess pelvic colpotomy drainage	2	$151.30
04404	Cyst vaginal inclusion	2	$200.00
04405	Cyst vaginal other than inclusion	2	$200.00
04233	Oophorectomy/ovarian cystectomy - vag - bilateral	0	$223.39
04232	Oophorectomy/ovarian cystectomy - vag - unilateral	0	$113.61
04410	Post-op haemorrhage, vaginal management w/ ga	5	$200.00
04406	Septum vaginal removal	2	$200.00
04202	Vaginal hysterectomy	4	$736.94
04411	Vaginectomy - total	4	$611.32
04033	Vaginectomy-partial	4	$458.49
04408	Vault prolapse (vaginal approach)	4	$536.63
Operations on the Vulva
04301	Bartholins cyst/abscess marsupialization	2	$200.00
04317	Biopsy - vulva - < 2 cm	2	$35.66
04032	Biopsy - vulva (greater than or equal to 2cm)	2	$112.08
04303	Hydrocele canal of nuck excision	2	$254.72
04300	Hymen incision	2	$200.00
04312	Labia minora resection	2	$254.72
04309	Labium varicocele	2	$200.00
04322	Lymphadenectomy - inguinal/femoral - bilateral	4	$701.26
04320	Lymphadenectomy - inguinal/femoral - unilateral	4	$400.76
04304	Urethral caruncle - cautery or excision in hosp	2	$62.32
04306	Venereal warts under g.a., hospital	2	$200.00
04305	Venereal warts, cautery or excision	0	$50.94
04311	Vulvar atresia or enlargement of vaginal introitus	2	$200.00
04318	Vulvectomy - radical	3	$901.73
04307	Vulvectomy - simple	3	$388.42
04316	Vulvovaginoplasty	2	$254.72
Other Procedures
04699	Fern test	0	$15.28
04401	Fistula recto-vaginal repair	3	$662.27
04085	Trial of forceps/vacuum delivery	4	$211.95
Plastic Operations for Genital Prolapse
04703	Augmented anterior compartment vaginal prolapse	2	$415.99
04704	Augmented posterior compartment vaginal prolapse	2	$415.99
04424	Complete repair of prolapse	3	$590.76
04227	Cystocoele/urethrocoele repair	2	$407.55
04422	Enterocele repair	2	$461.51
04427	Leforts operation	2	$458.49
04429	Perineal laceration repair of old 3rd degree	2	$458.49
04421	Rectocele repair	2	$407.55
04705	Removal of trans-vaginal placed synthetic mesh	2	$611.32
04701	Repeat urinary incontinence procedure	4	$420.25
04432	Repeat vaginal plastic procedure - extra	2	$152.83
04702	Transection or removal of suburethral mesh sling	4	$417.12
04706	Vaginal vault suspension-apical support procedure	2	$405.64
Referred Cases
04012	Consultation, limited, 0b&g	0	$77.25
04010	Consultation, ob&g	0	$140.70
04005	Emergency visit-obstetrics & gynecology	0	$127.37
04070	Telehealth consultation - obstetrics & gynecology	0	$140.70
04072	Telehealth repeat or limited consult/obs & gyn	0	$77.25
04078	Telehealth subsequent hospital visit - obs/gyn	0	$48.22
04077	Telehealth subsequent office visit - obs & gyn	0	$48.22
04009	Visit, home, ob&g	0	$116.08
04008	Visit, hospital, ob&g	0	$48.22
04007	Visit, office, ob&g	0	$48.22
Surgical Assistance
70019	Certified surgical assist	0	$256.63
70020	Certified surgical assist - time from 1-3 hours	0	$32.23
Surgical Fee Modifiers
04718	Care of complex antepartum patient prior to trnsfr	0	$280.53
04711	Gynecological certified surg assist,time 1-3 hours	0	$26.92
04710	Gynecological certified surgical assist-up to 1 hr	0	$257.92
04712	Gynecological surgical assistant(cert/second) >3hr	0	$28.15
04719	Gynecology surgical surcharge patient 75yr + older	0	$85.00
04713	Laparoscopic hysterectomy second surgical assistnt	0	$246.10
04716	Obstetrical surcharge therapeutic abortion,14-18wk	0	$61.48
04715	Obstetrical surcharge trerapeutic abortion >18 wks	0	$81.97
04717	Prenatal office visit -complex obstetrical patient	0	$46.89
04708	Prolonged laparoscopic surgery, per 15 min (extra)	0	$71.72
04714	Prolonged surgery-open procedure, per 15 min(extra	0	$71.72
Vaginal Operations on the Cervix and Uterus
04545	Artificial insemination - operation only	0	$32.71
04510	Biopsy cervix with d&c	2	$200.00
04508	Biopsy cervix, under g.a.	2	$200.00
04533	Cauterization cervix, electric, in office	0	$38.61
04530	Cauterization cervix, g.a.	2	$200.00
04531	Cauterization of cervix to include d&c if done	2	$200.00
04517	Cervical incompetence - elective repair	2	$254.72
04516	Cervical incompetence - emergency repair	2	$356.60
04515	Cervical ligature, removal of under anaesthetic	2	$200.00
04551	Cervical stump removal	3	$305.66
04500	Cervix dilation and curettage	2	$203.40
04502	Cervix, repair of	2	$200.00
04536	Cone biopsy cervix (includes d&c)	2	$263.90
04503	Cryosurgery - cervix	2	$101.89
04512	Myomectomy vaginal	4	$151.29
00770	Pelvic examination under anesthesia	2	$200.00
04509	Polypectomy - cervical	2	$30.57

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