What is the CPT code for preventive gyn exam?
Asked by: Mr. Colin Hirthe MD | Last update: December 15, 2025Score: 4.9/5 (56 votes)
What is CPT code 99395 preventive visit?
The 99395 CPT code is used to describe a preventive (well-patient) outpatient office visit for an established patient between the ages of 18 and 39.
What is CPT code 99459 for pelvic exam?
Summary: Applying CPT Code 99459
The code applies when a comprehensive pelvic examination is performed, aimed at compensating for the overhead costs standard reimbursement does not cover. These costs include use of a speculum and drapes and extra staff time.
What is the CPT code for routine Obgyn?
CPT code 59400 - Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care.
What is the ICD-10 code for preventive gynecological exam?
ICD-10 code Z01. 419 for Encounter for gynecological examination (general) (routine) without abnormal findings is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Understanding Preventative Medicine Codes
What is the CPT code for gynecological exam?
Coding for the Pelvic Examination Practice Expense Code, CPT 99459.
What is the ICD-10 code for routine Obgyn visit?
411, Encounter for gynecological examination (general) (routine) with abnormal findings, or Z01. 419, Encounter for gynecological examination (general) (routine) without abnormal findings, may be used as the ICD-10-CM diagnosis code for the annual exam performed by an obstetrician–gynecologist.
How to bill an annual gyn exam?
419 or Z01. 411 for the annual well woman exam with the gyn. If a carrier does not allow more than 1 993xx comprehensive preventive E&M code to be billed per year you can use the 993xx E&M code for the general annual wellness check-up exam and then you could use the following HCPCS codes for annual well woman exams.
What is the difference between CPT code 58661 and 58700?
DEFINITIONS: Procedure Code 58661 - Laparoscopy, surgical; with the removal of adnexal structures (partial or total oophorectomy and/or salpingectomy). Procedure Code 58700 - Salpingectomy, complete or partial, unilateral or bilateral (separate procedure).
What is CPT code 35184?
The Current Procedural Terminology (CPT®) code 35184 as maintained by American Medical Association, is a medical procedural code under the range - Arteriovenous Fistula Repair Procedures.
Is CPT code 99459 considered preventive care?
Pelvic Examination add-on code 99459: Preventive care services benefits may apply to 99459 when the related preventive medicine evaluation and management code is billed as the primary service. CPT code 99459 may not be payable in all circumstances due to other policies or guidelines.
What is the new code for pelvic exams?
In September of 2022, the American Medical Association CPT® Editorial Panel approved CPT code +99459 (pelvic examination). The code has now been valued under the Medicare Physician Fee Schedule and may be used as of January 1, 2024.
What is the CPT code for abdomen and pelvis?
74178, Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions. Report 74176 when both studies (abdomen and pelvis) are performed without contrast.
What is the CPT code for routine preventive exam?
Preventive Medicine Services CPT® Code range 99381- 99429. The Current Procedural Terminology (CPT) code range for Preventive Medicine Services 99381-99429 is a medical code set maintained by the American Medical Association.
What is the difference between 99396 and 99395?
adolescent (age 12 through 17 years) 99395 …18-39 years. 99396 … 40-64 years.
How to bill a preventive visit?
Preventive visit codes 99381-99397 include “counseling/anticipatory guidance/risk factor reduction interventions,” according to CPT. However, when such counseling is provided as part of a separate problem-oriented encounter, it may be billed using preventive medicine codes 99401-99409.
What is the CPT code for gynecologist visit?
Common CPT codes in gynecology include: 99201-99215: Evaluation and Management (E/M) codes for office visits.
What is CPT code 58661 preventive?
The CPT-code 58661 (Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/ or salpingectomy)) and ICD-10 code Z30. 2 (Encounter for sterilization are the appropriate codes for the bilateral salpingectomy) are the appropriate preventive codes for a bilateral salpingectomy.
What is CPT code 58555?
Hysteroscopy, diagnostic (separate procedure)
What is the CPT code for preventive well woman exam?
Preventive medicine codes (99381–99387 and 99391–99397) are used to report annual well-woman examinations and determined by the age of the patient and whether she is considered a new or established patient to the physician or practice.
What is the code for annual Obgyn exam?
HCPCS code S0612 for Annual gynecological examination, established patient as maintained by CMS falls under Screenings and Examinations .
Is an annual wellness exam the same as a Pap?
A gynecological (GYN) wellness exam is performed by a medical provider with specialized training in gynecology, the medical specialty for women's reproductive health. The benefits of a yearly visit extend well beyond a Pap smear.
What is the ICD 9 code for routine gynecological exam?
ICD-9 code V72. 31 for Routine gynecological examination is a medical classification as listed by WHO under the range -PERSONS WITHOUT REPORTED DIAGNOSIS ENCOUNTERED DURING EXAMINATION AND INVESTIGATION.
What does R87 610 mean?
R87.610 - Atypical squamous cells of undetermined significance on cytologic smear of cervix (ASC-US)