MSP Billing Codes

Specialty: Obstetrics Gynecology

Code Description Fee
15142 Trichomonas and / or candida, direct examination $5.69
04001 Laparoscopy $229.25
04003 Oophorectomy/salpingectomy $358.76
04201 Ovarian cystectomy $447.72
04203 Myomectomy $500.91
04204 Hysterotomy - abdominal with/without sterilization $358.76
04206 Suspension of uterus $240.19
04208 Ectopic pregnancy $500.91
04216 Neurectomy presacral $418.08
04217 Hemorrhage - post op (intra-abdominal management) $458.49

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

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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