MSP Billing Codes

Specialty: Obstetrics Gynecology

Code Description Fee
15142 Trichomonas and / or candida, direct examination $5.69
4001 Laparoscopy $229.25
4003 Oophorectomy/salpingectomy $358.76
4201 Ovarian cystectomy $447.72
4203 Myomectomy $500.91
4204 Hysterotomy - abdominal with/without sterilization $358.76
4206 Suspension of uterus $240.19
4208 Ectopic pregnancy $500.91
4216 Neurectomy presacral $418.08
4217 Hemorrhage - post op (intra-abdominal management) $458.49

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