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Colposcopy reporting format

Colposcopy reporting format 2025

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This document is a colposcopy report from the University of Virginia Health System's Department of Obstetrics and Gynecology. It includes patient information, examination details, findings from the colposcopic examination, and results of tests conducted. The report indicates that the examination was satisfactory, with an impression of normal findings, and includes sections for biopsy and HPV-DNA testing.

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How do you bill for a colposcopy?

Documentation should include the visibility extent, size, location, and description of each lesion (color/contour/border/vascular changes), presence or absence of acetowhitening, complete or incomplete visibility of the SCJ, documentation of biopsies and locations (if an endocervical curettage was performed), and

What are the punctuations on a colposcopy?

Coding for the directed biopsies depends on whether your payer accepts the new CPT code for colposcopy with vaginal biopsy(s) (57421). If so, the claim should be submitted as 57288 or 51992 + 57421-51.

What are the word parts of colposcopy?

Colposcopy. Break down the medical term into word components: Colp/o/scopy. Label the word components: Colp = WR; o = CV; scopy = S. Define the word components: Colp = ; scopy = visual examination. Create a final definition of the medical term: Visual examination of the .

What are the white patches on a colposcopy?

If the white patch appears within a few seconds of application of acetic acid and persists for a long time, the acetowhite patch is most likely due to CIN2/CIN3 or invasive cancer. In contrast, a white patch that appears slowly and disappears rapidly is usually due to a non-neoplastic condition or low-grade lesion.

How do I report colposcopy findings?

The colposcopic findings should be documented using the nomenclature of the International Federation of Cervical Pathology and Colposcopy (2011 IFCPC nomenclature): A diagrammatic representation of the colposcopic findings should be made, as shown below: Draw two concentric circles.

What are the stains on a colposcopy?

Acetic acid or vinegar is placed on the and to stain the cells and to allow the clinician to better see where the abnormal cells are located and the size of any abnormal areas. The size, type, and location of abnormal cells help to determine which area or areas may need to be biopsied.

Colposcopy reporting format 2025

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