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Posted By Cathy on 01-06-2020, 11:57:46 in Ob-Gyn
I overthink on these!
Patient had a Colpo on 11/25/19 that came back as CIN III. Doctor performed Leep on 12/17/19 and path result is now CIN I. Since I am billing from the surgical path I should use CIN I? When she returns for the repeat pap in 4 months it will be CIN I instead of CIN III?
Thank you, Cathy Satkus, CPC
Comments (2)
Posted By Cathy on 02-17-2020, 18:39:19
"Posted By Melanie Witt on 01-27-2020, 16:20:22
I would use the Dx of CIN III for the LEEP as this is why he performed it. A Dx of CIN I may not support the medical necessity of a LEEP procedure so payment might be an issue. The next time she comes in you report a Dx of CIN I as that is what you know at the time of the repeat Pap."

Thank you so much Melanie!
Posted By Melanie Witt on 01-27-2020, 16:20:22
I would use the Dx of CIN III for the LEEP as this is why he performed it. A Dx of CIN I may not support the medical necessity of a LEEP procedure so payment might be an issue. The next time she comes in you report a Dx of CIN I as that is what you know at the time of the repeat Pap.
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