MSP Billing Codes

Specialty: Obstetrics Gynecology

Code	Description	Anes	Fee
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15142	Trichomonas and / or candida, direct examination	0	$5.69
4001	Laparoscopy	4	$229.25
4003	Oophorectomy/salpingectomy	5	$358.76
4201	Ovarian cystectomy	5	$447.72
4203	Myomectomy	5	$500.91
4204	Hysterotomy - abdominal with/without sterilization	5	$358.76
4206	Suspension of uterus	4	$240.19
4208	Ectopic pregnancy	5	$500.91
4216	Neurectomy presacral	5	$418.08
4217	Hemorrhage - post op (intra-abdominal management)	6	$458.49
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4228	Hysterectomy - total	5	$736.94
4229	Removal of complicated pelvic disease	6	$754.70
4230	Sterilization - abdominal-open	4	$356.60
4605	Vault prolapse	5	$748.87
4707	Laparoscopic sacrocolpopexy	5	$980.80
4709	Hysterectomy-laparoscopic total/supracerv&/or lavh	5	$980.80
4011	Ca ovary/ fallopian tubes	6	$1,011.82
4029	Omentectomy/removal of soft-tissue mass	5	$358.76
4212	Pelvic lymphadenectomy	6	$595.90
4218	Hysterectomy - radical	6	$1,102.00
4219	Para-aortic lymphadenectomy	6	$595.90
4220	Para-aortic lymphadenectomy - partial	5	$263.91
4628	Removal of extrapelvic soft tissue mass > 10 cm	5	$509.44
4630	Removal of extrapelvic soft tissue mass > 10 cm	3	$474.13
4631	Removal of extrapelvic soft tissue mass > 10 cm	3	$711.19
4632	Removal of extrapelvic soft tissue mass > 10 cm	3	$356.60
4633	Removal of extrapelvic soft tissue mass > 10 cm	3	$407.55
4640	Removal of extrapelvic soft tissue mass > 10 cm	3	$474.13
4641	Removal of extrapelvic soft tissue mass > 10 cm	3	$711.19
4680	Guided amniocentesis	0	$168.11
8651	Obs. - b-scan - 14 wks. or more for singles	0	$110.08
8652	B scan i.u.d. localization	0	$55.31
8653	Pelvic b scan - non-obstetrical	0	$110.08
8655	Obs. b-scan - less than 14 wks.	0	$82.58
8657	Chorionic villus sampling for ultrasonic guidance	0	$110.68
86051	Obs b scan (14 wks gestation or over)- add fetuses	0	$81.91
4221	Hysteroscopic div of intrauterine adhesions-simple	2	$210.53
4222	Hysteroscopic div of intrauterine adhesions-comp	2	$350.88
4223	Resection of myoma	2	$455.19
4224	Endometrial ablation	2	$455.19
4225	Hysteroscopic division of uterine septum	2	$344.52
4226	Hysteroscopic tubal occlusion (bilateral)	0	$195.31
4034	Salpingolysis via laparoscopy - unilateral	4	$90.48
4035	Salpingolysis via laparoscope - bilateral	4	$174.37
4036	Salpingostomy via laparoscopy - unilateral	4	$189.23
4037	Salpingostomy via laparoscopy - bilateral	4	$374.55
4040	Cautery of endometriosis	4	$76.07
4041	Oophorectomy and/or salpingectomy-unilateral	5	$184.68
4042	Oophorectomy and/or salpingectomy-bilateral	5	$365.56
4043	Ovarian cystectomy - unilateral	5	$293.25
4044	Ovarian cystectomy-bilateral	5	$546.59
4045	Ventral suspension of uterus	4	$151.29
4046	Presacral neurectomy	4	$210.57
4047	Excision of extensive peritoneal endometriosis	6	$428.14
4048	Removal of complicated pelvic disease-laparoscopic	6	$548.82
4660	Tubal interruption (sterilization )	4	$92.00
4662	Laparoscopy - removal of foreign body	4	$155.00
4664	Ectopic pregnancy - removal via scope.	4	$342.55
4620	Cervical neoplasia	2	$200.00
4621	Vaginal neoplasia with or without g.a.	2	$200.00
4622	Vulvar condylomata	2	$200.00
4623	Extensive vulvar and/or vaginal condyl. under g.a.	2	$254.72
4624	Vulvar intraepithelial lesion diffuse w/ perianal	2	$407.55
4625	Vulvar intraepithelial lesion/diffuse multifocal	2	$407.55
4602	Salpingolysis - unilateral/bilateral	5	$447.72
4616	Micro salpingostomy -unilateral	5	$616.67
4617	Micro salpingostomy - bilateral	5	$800.77
4626	Tubo-cornual anastomosis - unilateral (micro)	5	$892.33
4627	Tubo-cornual anastomosis - bilateral (micro)	5	$1,159.11
4000	Complicated vaginal delivery	4	$375.70
4014	Midcavity forceps - delivery	4	$450.87
4017	Midcavity rotation - surgical delivery	4	$551.03
4018	Breech vaginal birth	4	$585.77
4022	Sphincter repair - external	3	$240.44
4023	Cervical /vaginal lacerations	3	$240.44
4024	4th degree laceration - repair	3	$290.53
4025	C-section - high risk	6	$651.28
4026	Retained placenta - manual removal	3	$240.44
4038	Repeat intrapartum assess by consultant at request	0	$222.21
4039	Management of complicated labour by obstetrician	0	$667.15
4049	External cephalic version	0	$152.83
4050	Caesarean section - elective	5	$500.99
4052	Caesarean section - emergency	6	$561.10
4080	Insertion of multiple osmotic dilators with block	0	$152.83
4092	Multiple natural births - each additional child	0	$161.31
4093	Caesarean section multiple births, each additional	0	$82.15
4106	Caesarean hysterectomy	8	$928.39
4107	Supervision of labour and vaginal delivery	5	$200.27
4110	Therapeutic abortion (vaginal) 14 - 18 weeks	2	$250.41
4111	Therapeutic abortion (vaginal) less than 14 weeks	2	$203.77
4114	Therapeutic abortion by d&e, 18 wks and over	3	$356.60
4116	Curettage for post-partum haemorrhage (> 20 weeks)	3	$254.72
4118	Induc. or stim. of labour by oxytocin - 1st hour	0	$41.98
4119	Induc. or stim. of labour by oxytocin - subs. hrs	0	$28.93
4141	Induc. or stim. of labour by oxytocin - subs. hrs	4	$320.00
4142	Induc. or stim. of labour by oxytocin - subs. hrs	3	$140.00
4190	Induc. or stim. of labour by oxytocin - subs. hrs	0	$84.95
4191	Induc. or stim. of labour by oxytocin - subs. hrs	0	$31.81
4194	Induc. or stim. of labour by oxytocin - subs. hrs	0	$31.81
70019	Certified surgical assist	0	$256.63
70020	Certified surgical assist - time from 1-3 hours	0	$32.23
4033	Vaginectomy-partial	4	$458.49
4202	Vaginal hysterectomy	4	$736.94
4232	Oophorectomy/ovarian cystectomy - vag - unilateral	0	$113.61
4233	Oophorectomy/ovarian cystectomy - vag - bilateral	0	$223.39
4402	Abscess pelvic colpotomy drainage	2	$151.30
4404	Cyst vaginal inclusion	2	$200.00
4405	Cyst vaginal other than inclusion	2	$200.00
4406	Septum vaginal removal	2	$200.00
4408	Vault prolapse (vaginal approach)	4	$536.63
4410	Post-op haemorrhage, vaginal management w/ ga	5	$200.00
4411	Vaginectomy - total	4	$611.32
4032	Biopsy - vulva (greater than or equal to 2cm)	2	$112.08
4300	Hymen incision	2	$200.00
4301	Bartholins cyst/abscess marsupialization	2	$200.00
4303	Hydrocele canal of nuck excision	2	$254.72
4304	Urethral caruncle - cautery or excision in hosp	2	$62.32
4305	Venereal warts, cautery or excision	0	$50.94
4306	Venereal warts under g.a., hospital	2	$200.00
4307	Vulvectomy - simple	3	$388.42
4309	Labium varicocele	2	$200.00
4311	Vulvar atresia or enlargement of vaginal introitus	2	$200.00
4312	Labia minora resection	2	$254.72
4316	Vulvovaginoplasty	2	$254.72
4317	Biopsy - vulva - < 2 cm	2	$35.66
4318	Vulvectomy - radical	3	$901.73
4320	Lymphadenectomy - inguinal/femoral - unilateral	4	$400.76
4322	Lymphadenectomy - inguinal/femoral - bilateral	4	$701.26
4401	Fistula recto-vaginal repair	3	$662.27
4699	Fern test	0	$15.28
4227	Cystocoele/urethrocoele repair	2	$407.55
4421	Rectocele repair	2	$407.55
4422	Enterocele repair	2	$461.51
4424	Complete repair of prolapse	3	$590.76
4427	Leforts operation	2	$458.49
4429	Perineal laceration repair of old 3rd degree	2	$458.49
4432	Repeat vaginal plastic procedure - extra	2	$152.83
4701	Repeat urinary incontinence procedure	4	$420.25
4702	Transection or removal of suburethral mesh sling	4	$417.12
4703	Augmented anterior compartment vaginal prolapse	2	$415.99
4704	Augmented posterior compartment vaginal prolapse	2	$415.99
4705	Removal of trans-vaginal placed synthetic mesh	2	$611.32
4706	Vaginal vault suspension-apical support procedure	2	$405.64
4005	Emergency visit-obstetrics & gynecology	0	$127.37
4007	Visit, office, ob&g	0	$48.22
4008	Visit, hospital, ob&g	0	$48.22
4009	Visit, home, ob&g	0	$116.08
4010	Consultation, ob&g	0	$140.70
4012	Consultation, limited, 0b&g	0	$77.25
4070	Telehealth consultation - obstetrics & gynecology	0	$140.70
4072	Telehealth repeat or limited consult/obs & gyn	0	$77.25
4077	Telehealth subsequent office visit - obs & gyn	0	$48.22
4078	Telehealth subsequent hospital visit - obs/gyn	0	$48.22
4708	Prolonged laparoscopic surgery, per 15 min (extra)	0	$71.72
4710	Gynecological certified surgical assist-up to 1 hr	0	$257.92
4711	Gynecological certified surg assist,time 1-3 hours	0	$26.92
4712	Gynecological surgical assistant(cert/second) >3hr	0	$28.15
4713	Laparoscopic hysterectomy second surgical assistnt	0	$246.10
4714	Prolonged surgery-open procedure, per 15 min(extra	0	$71.72
4715	Obstetrical surcharge trerapeutic abortion >18 wks	0	$81.97
4716	Obstetrical surcharge therapeutic abortion,14-18wk	0	$61.48
4717	Prenatal office visit -complex obstetrical patient	0	$46.89
4718	Care of complex antepartum patient prior to trnsfr	0	$280.53
4719	Gynecology surgical surcharge patient 75yr + older	0	$85.00
770	Pelvic examination under anesthesia	2	$200.00
4500	Cervix dilation and curettage	2	$203.40
4502	Cervix, repair of	2	$200.00
4503	Cryosurgery - cervix	2	$101.89
4508	Biopsy cervix, under g.a.	2	$200.00
4509	Polypectomy - cervical	2	$30.57
4510	Biopsy cervix with d&c	2	$200.00
4512	Myomectomy vaginal	4	$151.29
4515	Cervical ligature, removal of under anaesthetic	2	$200.00
4516	Cervical incompetence - emergency repair	2	$356.60
4517	Cervical incompetence - elective repair	2	$254.72
4530	Cauterization cervix, g.a.	2	$200.00
4531	Cauterization of cervix to include d&c if done	2	$200.00
4533	Cauterization cervix, electric, in office	0	$38.61
4536	Cone biopsy cervix (includes d&c)	2	$263.90
4545	Artificial insemination - operation only	0	$32.71
4551	Cervical stump removal	3	$305.66
4085	Trial of forceps/vacuum delivery	4	$211.95

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