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The procedure described by CPT® Code 57513 involves the cauterization of the cervix through laser ablation. This technique is utilized to treat abnormal cervical tissue by employing a focused beam of light, which effectively evaporates the targeted tissue. The process begins with the insertion of a speculum into the vaginal vault, allowing the physician to visualize the cervix clearly. Once the area is accessible, the laser delivery device is carefully positioned and directed at the specific site of abnormality. Upon activation, the laser generates a concentrated light that penetrates the tissue, leading to the destruction of the eroded or abnormal cervical cells. This method is particularly advantageous as it minimizes damage to surrounding healthy tissue while providing a precise means of addressing cervical abnormalities. The procedure can be performed as either an initial treatment or a repeat intervention, depending on the patient's clinical needs and the extent of the cervical condition being addressed.
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The procedure coded as CPT® 57513 is indicated for the treatment of various conditions affecting the cervix, particularly those involving abnormal cervical tissue. The following are specific indications for performing laser ablation of the cervix:
The procedure for CPT® Code 57513 involves several key steps that ensure effective treatment of the cervix through laser ablation. The following outlines the procedural steps:
Following the laser ablation procedure coded as CPT® 57513, patients may experience some post-procedural effects that require monitoring. It is common for patients to have mild discomfort or cramping in the days following the procedure. Healthcare providers typically advise patients to avoid sexual intercourse, douching, or using tampons for a specified period to allow the cervix to heal properly. Follow-up appointments may be scheduled to assess the healing process and to ensure that the abnormal tissue has been adequately addressed. Patients should be informed about potential signs of complications, such as excessive bleeding or signs of infection, and instructed to seek medical attention if these occur.
| Short Descr | LASER SURGERY OF CERVIX | Medium Descr | CAUTERY CERVIX LASER ABLATION | Long Descr | Cautery of cervix; laser ablation | Status Code | Active Code | Global Days | 010 - Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard 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) | 1 - Statutory 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 | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 125 - Other excision of cervix and uterus |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 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. | 62 | Two surgeons: when 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. each surgeon should report the co-surgery once using the same procedure code. if additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. note: if a co-surgeon acts as an assistant in the performance of additional procedure(s), other than those reported with the modifier 62, during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 2002-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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