MSP Billing Codes

Specialty: Msp Billing Codes By Specialty

Category: Obstetrics Gynecology

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Code Description Fee

Abdominal Operations

04208 Ectopic pregnancy $500.91
04217 Hemorrhage - post op (intra-abdominal management) $458.49
04228 Hysterectomy - total $736.94
04709 Hysterectomy-laparoscopic total/supracerv&/or lavh $980.80
04204 Hysterotomy - abdominal with/without sterilization $358.76
04707 Laparoscopic sacrocolpopexy $980.80
04001 Laparoscopy $229.25
04203 Myomectomy $500.91
04216 Neurectomy presacral $418.08
04003 Oophorectomy/salpingectomy $358.76

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04201 Ovarian cystectomy $447.72
04229 Removal of complicated pelvic disease $754.70
04230 Sterilization - abdominal-open $356.60
04206 Suspension of uterus $240.19
04605 Vault prolapse $748.87

Abdominal Operations for Cancer

04011 Ca ovary/ fallopian tubes $1,011.82
04218 Hysterectomy - radical $1,102.00
04029 Omentectomy/removal of soft-tissue mass $358.76
04219 Para-aortic lymphadenectomy $595.90
04220 Para-aortic lymphadenectomy - partial $263.91
04212 Pelvic lymphadenectomy $595.90
04628 Removal of extrapelvic soft tissue mass > 10 cm $509.44
04630 Removal of extrapelvic soft tissue mass > 10 cm $474.13
04631 Removal of extrapelvic soft tissue mass > 10 cm $711.19
04632 Removal of extrapelvic soft tissue mass > 10 cm $356.60
04633 Removal of extrapelvic soft tissue mass > 10 cm $407.55
04640 Removal of extrapelvic soft tissue mass > 10 cm $474.13
04641 Removal of extrapelvic soft tissue mass > 10 cm $711.19

Diagnostic Ultrasound

08652 B scan i.u.d. localization $55.31
08657 Chorionic villus sampling for ultrasonic guidance $110.68
04680 Guided amniocentesis $168.11
86051 Obs b scan (14 wks gestation or over)- add fetuses $81.91
08651 Obs. - b-scan - 14 wks. or more for singles $110.08
08655 Obs. b-scan - less than 14 wks. $82.58
08653 Pelvic b scan - non-obstetrical $110.08

Hysteroscopy - Surgical

04224 Endometrial ablation $455.19
04222 Hysteroscopic div of intrauterine adhesions-comp $350.88
04221 Hysteroscopic div of intrauterine adhesions-simple $210.53
04225 Hysteroscopic division of uterine septum $344.52
04226 Hysteroscopic tubal occlusion (bilateral) $195.31
04223 Resection of myoma $455.19

Laboratory Services

15142 Trichomonas and / or candida, direct examination $5.69

Laparoscopic Operations

04040 Cautery of endometriosis $76.07
04664 Ectopic pregnancy - removal via scope. $342.55
04047 Excision of extensive peritoneal endometriosis $428.14
04662 Laparoscopy - removal of foreign body $155.00
04042 Oophorectomy and/or salpingectomy-bilateral $365.56
04041 Oophorectomy and/or salpingectomy-unilateral $184.68
04043 Ovarian cystectomy - unilateral $293.25
04044 Ovarian cystectomy-bilateral $546.59
04046 Presacral neurectomy $210.57
04048 Removal of complicated pelvic disease-laparoscopic $548.82
04035 Salpingolysis via laparoscope - bilateral $174.37
04034 Salpingolysis via laparoscopy - unilateral $90.48
04037 Salpingostomy via laparoscopy - bilateral $374.55
04036 Salpingostomy via laparoscopy - unilateral $189.23
04660 Tubal interruption (sterilization ) $92.00
04045 Ventral suspension of uterus $151.29

Laser Vaporization

04620 Cervical neoplasia $200.00
04623 Extensive vulvar and/or vaginal condyl. under g.a. $254.72
04621 Vaginal neoplasia with or without g.a. $200.00
04622 Vulvar condylomata $200.00
04624 Vulvar intraepithelial lesion diffuse w/ perianal $407.55
04625 Vulvar intraepithelial lesion/diffuse multifocal $407.55

Micro-Surgical Operations

04617 Micro salpingostomy - bilateral $800.77
04616 Micro salpingostomy -unilateral $616.67
04602 Salpingolysis - unilateral/bilateral $447.72
04627 Tubo-cornual anastomosis - bilateral (micro) $1,159.11
04626 Tubo-cornual anastomosis - unilateral (micro) $892.33

Obstetrical Procedures

04024 4th degree laceration - repair $290.53
04018 Breech vaginal birth $585.77
04025 C-section - high risk $651.28
04106 Caesarean hysterectomy $928.39
04050 Caesarean section - elective $500.99
04052 Caesarean section - emergency $561.10
04093 Caesarean section multiple births, each additional $82.15
04023 Cervical /vaginal lacerations $240.44
04000 Complicated vaginal delivery $375.70
04116 Curettage for post-partum haemorrhage (> 20 weeks) $254.72
04049 External cephalic version $152.83
04118 Induc. or stim. of labour by oxytocin - 1st hour $41.98
04119 Induc. or stim. of labour by oxytocin - subs. hrs $28.93
04141 Induc. or stim. of labour by oxytocin - subs. hrs $320.00
04142 Induc. or stim. of labour by oxytocin - subs. hrs $140.00
04190 Induc. or stim. of labour by oxytocin - subs. hrs $84.95
04191 Induc. or stim. of labour by oxytocin - subs. hrs $31.81
04194 Induc. or stim. of labour by oxytocin - subs. hrs $31.81
04080 Insertion of multiple osmotic dilators with block $152.83
04039 Management of complicated labour by obstetrician $667.15
04014 Midcavity forceps - delivery $450.87
04017 Midcavity rotation - surgical delivery $551.03
04092 Multiple natural births - each additional child $161.31
04038 Repeat intrapartum assess by consultant at request $222.21
04026 Retained placenta - manual removal $240.44
04022 Sphincter repair - external $240.44
04107 Supervision of labour and vaginal delivery $200.27
04110 Therapeutic abortion (vaginal) 14 - 18 weeks $250.41
04111 Therapeutic abortion (vaginal) less than 14 weeks $203.77
04114 Therapeutic abortion by d&e, 18 wks and over $356.60

Operations on the Vagina

04402 Abscess pelvic colpotomy drainage $151.30
04404 Cyst vaginal inclusion $200.00
04405 Cyst vaginal other than inclusion $200.00
04233 Oophorectomy/ovarian cystectomy - vag - bilateral $223.39
04232 Oophorectomy/ovarian cystectomy - vag - unilateral $113.61
04410 Post-op haemorrhage, vaginal management w/ ga $200.00
04406 Septum vaginal removal $200.00
04202 Vaginal hysterectomy $736.94
04411 Vaginectomy - total $611.32
04033 Vaginectomy-partial $458.49
04408 Vault prolapse (vaginal approach) $536.63

Operations on the Vulva

04301 Bartholins cyst/abscess marsupialization $200.00
04317 Biopsy - vulva - < 2 cm $35.66
04032 Biopsy - vulva (greater than or equal to 2cm) $112.08
04303 Hydrocele canal of nuck excision $254.72
04300 Hymen incision $200.00
04312 Labia minora resection $254.72
04309 Labium varicocele $200.00
04322 Lymphadenectomy - inguinal/femoral - bilateral $701.26
04320 Lymphadenectomy - inguinal/femoral - unilateral $400.76
04304 Urethral caruncle - cautery or excision in hosp $62.32
04306 Venereal warts under g.a., hospital $200.00
04305 Venereal warts, cautery or excision $50.94
04311 Vulvar atresia or enlargement of vaginal introitus $200.00
04318 Vulvectomy - radical $901.73
04307 Vulvectomy - simple $388.42
04316 Vulvovaginoplasty $254.72

Other Procedures

04699 Fern test $15.28
04401 Fistula recto-vaginal repair $662.27
04085 Trial of forceps/vacuum delivery $211.95

Plastic Operations for Genital Prolapse

04703 Augmented anterior compartment vaginal prolapse $415.99
04704 Augmented posterior compartment vaginal prolapse $415.99
04424 Complete repair of prolapse $590.76
04227 Cystocoele/urethrocoele repair $407.55
04422 Enterocele repair $461.51
04427 Leforts operation $458.49
04429 Perineal laceration repair of old 3rd degree $458.49
04421 Rectocele repair $407.55
04705 Removal of trans-vaginal placed synthetic mesh $611.32
04701 Repeat urinary incontinence procedure $420.25
04432 Repeat vaginal plastic procedure - extra $152.83
04702 Transection or removal of suburethral mesh sling $417.12
04706 Vaginal vault suspension-apical support procedure $405.64

Referred Cases

04012 Consultation, limited, 0b&g $77.25
04010 Consultation, ob&g $140.70
04005 Emergency visit-obstetrics & gynecology $127.37
04070 Telehealth consultation - obstetrics & gynecology $140.70
04072 Telehealth repeat or limited consult/obs & gyn $77.25
04078 Telehealth subsequent hospital visit - obs/gyn $48.22
04077 Telehealth subsequent office visit - obs & gyn $48.22
04009 Visit, home, ob&g $116.08
04008 Visit, hospital, ob&g $48.22
04007 Visit, office, ob&g $48.22

Surgical Assistance

70019 Certified surgical assist $256.63
70020 Certified surgical assist - time from 1-3 hours $32.23

Surgical Fee Modifiers

04718 Care of complex antepartum patient prior to trnsfr $280.53
04711 Gynecological certified surg assist,time 1-3 hours $26.92
04710 Gynecological certified surgical assist-up to 1 hr $257.92
04712 Gynecological surgical assistant(cert/second) >3hr $28.15
04719 Gynecology surgical surcharge patient 75yr + older $85.00
04713 Laparoscopic hysterectomy second surgical assistnt $246.10
04716 Obstetrical surcharge therapeutic abortion,14-18wk $61.48
04715 Obstetrical surcharge trerapeutic abortion >18 wks $81.97
04717 Prenatal office visit -complex obstetrical patient $46.89
04708 Prolonged laparoscopic surgery, per 15 min (extra) $71.72
04714 Prolonged surgery-open procedure, per 15 min(extra $71.72

Vaginal Operations on the Cervix and Uterus

04545 Artificial insemination - operation only $32.71
04510 Biopsy cervix with d&c $200.00
04508 Biopsy cervix, under g.a. $200.00
04533 Cauterization cervix, electric, in office $38.61
04530 Cauterization cervix, g.a. $200.00
04531 Cauterization of cervix to include d&c if done $200.00
04517 Cervical incompetence - elective repair $254.72
04516 Cervical incompetence - emergency repair $356.60
04515 Cervical ligature, removal of under anaesthetic $200.00
04551 Cervical stump removal $305.66
04500 Cervix dilation and curettage $203.40
04502 Cervix, repair of $200.00
04536 Cone biopsy cervix (includes d&c) $263.90
04503 Cryosurgery - cervix $101.89
04512 Myomectomy vaginal $151.29
00770 Pelvic examination under anesthesia $200.00
04509 Polypectomy - cervical $30.57

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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