MSP Billing Codes
Specialty: Obstetrics Gynecology
Code | Description | Fee | |
---|---|---|---|
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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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