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2025 CPT code 57513

Cauterization of the cervix; laser ablation.

Refer to the current CPT guidelines for appropriate coding and documentation practices for surgical procedures on the female genital system.Consider additional modifiers as needed based on the circumstances of the procedure.

Modifiers may be applicable depending on the circumstances of the service.Consult the CPT codebook and relevant payer guidelines for the appropriate use of modifiers.

Medical necessity for laser ablation of the cervix is established by the presence of abnormal cervical tissue, such as cervical dysplasia, cervical intraepithelial neoplasia (CIN), or precancerous lesions. The procedure aims to prevent progression to cervical cancer or control abnormal bleeding. Documentation must support the clinical indication for the procedure and the appropriateness of laser ablation as a treatment option.

The physician places the patient in the dorsal lithotomy position, inserts a speculum, identifies the abnormal cervical tissue, and uses a laser device to ablate the affected tissue.

In simple words: The doctor uses a laser to remove abnormal tissue from the cervix (the lower part of the uterus).

This procedure involves the destruction of cervical tissue using laser ablation. The patient is positioned in a dorsal lithotomy position, a speculum is inserted into the vagina, and the abnormal cervical tissue is identified. A laser beam device is then used to ablate the abnormal tissue.The laser energy heats and evaporates the abnormal tissue. Once complete, the device is withdrawn.

Example 1: A patient presents with abnormal cervical cells detected during a Pap smear. Laser ablation is performed to remove the abnormal tissue., A patient experiences abnormal vaginal bleeding and a colposcopy reveals a small lesion on the cervix. Laser ablation is chosen to treat the lesion and reduce bleeding., A patient has cervical dysplasia (precancerous changes) identified during a routine exam. Laser ablation is used to remove the dysplastic tissue, preventing progression to cervical cancer.

* Preoperative diagnosis and history, including any prior treatments or procedures.* Results of Pap smears, colposcopy, and/or biopsies showing the presence of abnormal cervical tissue.* Operative report detailing the procedure, including type of laser, extent of tissue removed, and any complications.* Postoperative instructions provided to the patient.* Follow-up plans for monitoring the patient's condition.

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