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Computer-aided mapping of the cervix uteri during colposcopy, as described by CPT® Code 57465, is an advanced diagnostic procedure that enhances the traditional colposcopy technique. Colposcopy itself is a critical tool in gynecological practice, primarily utilized for the detection and diagnosis of precancerous and cancerous lesions of the cervix, which is a significant health concern for women. The procedure involves the application of an acetic acid solution to the cervix, which causes abnormal epithelial cells to turn white, allowing for the identification of lesions that may indicate cancer or precancerous conditions. The addition of computer-aided mapping represents a significant technological advancement in this field. This process employs an ultra-advanced colposcope equipped with proprietary optical imaging technology that quantifies the acetowhitening effect observed during the examination. By creating a color-coded map of the cervical tissue's reaction, this technology provides a visual representation that can be overlaid on the live image of the cervix. This not only aids the physician in making more accurate diagnoses but also enhances the patient's experience by allowing them to visualize the mapping process, thereby improving their understanding of the examination and potentially reducing anxiety. Overall, this innovative approach significantly contributes to the effective detection and diagnosis of cervical diseases, making it a valuable addition to the standard colposcopy procedure.
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The computer-aided mapping of the cervix uteri during colposcopy, as indicated by CPT® Code 57465, is performed for specific clinical reasons. The primary indications for this procedure include:
The procedure for computer-aided mapping of the cervix during colposcopy involves several key steps that enhance the traditional colposcopy process. These steps include:
After the computer-aided mapping of the cervix during colposcopy, the patient may experience some mild discomfort or spotting, which is generally expected. The physician will provide post-procedure care instructions, which may include recommendations for monitoring any symptoms and scheduling follow-up appointments to discuss the results of the mapping and any necessary next steps. It is important for the patient to report any unusual symptoms, such as heavy bleeding or severe pain, to their healthcare provider. The results from the mapping will be analyzed to determine if further diagnostic procedures, such as a biopsy, are needed based on the findings observed during the colposcopy.
| Short Descr | CAM CERVIX UTERI DRG COLP | Medium Descr | COMPUTER-AIDED MAPG CERVIX UTERI DRG COLPOSCOPY | Long Descr | Computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code for primary procedure) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 57420 | Female Edit MPFS Status: Active Code APC T ASC P3 CPT Assistant Article Illustration for Code Colposcopy of the entire vagina, with cervix if present; | 57421 | Female Edit MPFS Status: Active Code APC T ASC P3 CPT Assistant Article Illustration for Code Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix | 57452 | Female Edit MPFS Status: Active Code APC T ASC P3 CPT Assistant Article Illustration for Code Colposcopy of the cervix including upper/adjacent vagina; | 57454 | Female Edit MPFS Status: Active Code APC T ASC P3 CPT Assistant Article Illustration for Code Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage | 57455 | Female Edit MPFS Status: Active Code APC T ASC P3 CPT Assistant Article Illustration for Code Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix | 57456 | Female Edit MPFS Status: Active Code APC T ASC P3 CPT Assistant Article Illustration for Code Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage | 57460 | Female Edit MPFS Status: Active Code APC J1 ASC P3 CPT Assistant Article Illustration for Code Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix | 57461 | Female Edit MPFS Status: Active Code APC J1 ASC P3 CPT Assistant Article Illustration for Code Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix |
| 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GA | Waiver of liability statement issued as required by payer policy, individual case |
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| 2021-01-01 | Added | Code added. |
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