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Topic Title: Smit sleeve
Topic Summary: How to code insertion of Smit sleeve
Created On: 06/30/2006 01:47 PM

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 06/30/2006 01:47 PM
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maryjyorns

Posts: 11
Joined: 01/06/2006

Hello - What CPT code do you use for the insertion of a Smit sleeve used for the administration of brachytherapy? Thank you all so much.
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 07/12/2006 12:18 PM
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jpp4342

Posts: 4
Joined: 06/08/2006

Hi,

Let me begin by saying I am a student not a fulltime coder and I looked at this as an exercise so having said that take it with a grain of salt.

I found this on the SGO site www.sgo.org/policy/coding and this is what I found and I am quoting-

"While there is not a specific code for Smit Cervical sleeve Cpt 57155-52: Insertion of uterine tandems and/or vaginal ovoids for clinical brachytherapy would be reasonable with a -52 modifier to indicate reduced services. An alternative would be to code for the EUA, 57410 and 57800 (dilation of cervical canal, instrumental) as this reflects the majority of the work associated with the procedures described. If placing the cervical sleeve adds significant amounts of work then adding -22 modifier to 57800 would be reasonalbe as well.


Maybe this may help if not at least I learned what a smit sleeve is. Thanks for increasing my limited knowledge and do look at the site for yourself.

Thanks
KC
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 07/26/2006 08:26 AM
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miaisbell

Posts: 2
Joined: 07/26/2006

I would use 57155 with modifier 52 to show reduced wervice
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 07/26/2006 10:22 AM
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Gerri

Posts: 1
Joined: 07/26/2006

I have been researching this issue as well and I have found the following:
The problem with billing the 57155-52 is that the radiologist who actually does do the procedure of inserting the tandem/ovoid will likely have his claim denied. Puttng the sleeve in does not require touching the radioactive element. Billing the 57410 and 57800 is incorrect as 57800 is bundled into 57410, no modifier allowed per CCI. Billing the unlisted code, 58999 seems to be the fairest way to go as your fee is negotiable with the payor for the amount of work done including the cervical dilation. The radiologist can then submit his claim and be paid for the legitimate work done.

Good luck KC, You're right on target, good job!
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 04/19/2013 09:32 AM
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tom.miller@usoncology.com

Posts: 1
Joined: 04/19/2013

What code is used to remove this sleeve? I was thinking 57400.
Thanks
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