|August 2004 · Vol. 16, No. 8
The extra effort of transvaginal injectionMelanie
RN, CPC, MA
Ms. Witt, former program manager in the Department of Coding and Nomenclature at the American College of Obstetricians and Gynecologists, is an independent coding and documentation consultant. Reimbursement Adviser reflects the most commonly accepted interpretations of CPT-4 and ICD-9-CM coding. When in doubt on a coding or billing matter, check with your individual payer.
Q We treated an ectopic pregnancy with an injection of potassium chloride transvaginally. How is this coded?
A First, was ultrasound guidance of the needle used—and documented? If so, you can report 76942 (ultrasonic guidance for needle placement [eg, biopsy, aspiration, injection, localization device], imaging, supervision, and interpretation).