Operation: LEEP procedure
Diagnosis: Cervical polyp
Procedure: With the patient in the supine position, general anesthesia was administered. The patient was put in the dorsal lithotomy position and prepped and draped for dilation and curettage in a routine fashion.
An insulated posterior weighted retractor was put in. Using the LEEP tenaculum, we were able to grasp the anterior lip of the cervix with a large wire loop at 35 cutting, 30 coagulation. The cervical polyp on the posterior lip of the cervix was excised.
Then changing to a 40 of coagulation and 4 cutting, the base of the polyp was electrocoagulated, which controlled all the bleeding and then it was closed with figure-of-eight 3-0 Vicryl sutures.
Rechecking the cervix, no bleeding was noted. The patient was laid flat on the table, awakened, and moved to the recovery room bed and sent to the recovery room in satisfactory condition.
Select the appropriate CPT and ICD-10-CM codes:

Question

Quizplus · Accepted Answer

The correct CPT code for a LEEP procedure is 57460, which is used for conization of the cervix, including the loop electrosurgical excision procedure (LEEP). The diagnosis of a cervical polyp is coded as N84.1 in ICD-10-CM.

Operation: LEEP Procedure Diagnosis: Cervical Polyp