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June 2003 · Vol. 15, No. 6

REIMBURSEMENT ADVISER

TVT and colposcopy-directed vaginal biopsy

Melanie  Witt,  RN, CPC, MA

Q

Our physician performed colposcopy-directed vaginal biopsies and a transvaginal tape (TVT) procedure with cystoscopy. The diagnosis was a Pap result consistent with vaginal intraepithelial neoplasia I (VIN I). How should these procedures be coded?

A

First, I hope there was another diagnosis besides VIN I—this condition justifies the directed biopsies but not the TVT procedure, which would be done for stress urinary incontinence (ICD-9-CM code 625.6).

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