Appendix Table A. Codes Used to Identify Procedures

Procedure type Code Codes Description type Pap smear CPT/ 88141-88145, 88147 - Cytopathology, cervical or vaginal HCPCS 88148, 88150, 88152- 88155, 88164-88167, 88174 - 88175 G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination G0123-G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation G0141 Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician G0143 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with manual screening and rescreening by cytotechnologist under physician supervision G0144 Screening by automated system, under physician supervision G0145 Screening cytopathology smears, cervical or vaginal, performed by automated system, with manual rescreening, requiring interpretation by physician G0147 Screening cytopathology smears, cervical or vaginal; performed by automated system under physician supervision G0148 Performed by automated system with manual rescreening Q0091 Screening Papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory P3000 Screening Papanicolaou smear, cervical or vaginal, up to three smears P3001 Requiring interpretation by physician ICD-9 91.46 Cell block and Papanicolaou smear from female proc genital tract HPV DNA test CPT 87620 Infectious agent detection by nucleic acid (DNA or RNA); papillomavirus, human, direct probe technique 87621 Infectious agent detection by nucleic acid (DNA or RNA); papillomavirus, human, amplified probe technique Procedure type Code Codes Description type 87622 Infectious agent detection by nucleic acid (DNA or RNA); papillomavirus, human, quantification Colposcopy CPT 57420 Colposcopy of the entire vagina, with cervix if present 57452 Colposcopy of the cervix including upper/adjacent vagina ICD-9 70.12 Vaginoscopy proc Colposcopy & CPT 57421 Colposcopy of the entire vagina, with cervix if biopsy present; with biopsy(s) of vagina/cervix 57455 Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Biopsy ICD-9 67.11-67.12 Cervical biopsy proc CPT 57500 Biopsy, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) Endocervical CPT 57505 Endocervical curettage curettage (ECC) Colposcopy & CPT 57454 Colposcopy of the cervix including ECC upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage 57456 Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage Colposcopy & CPT 57450 Colposcopy of the cervix including LEEP or upper/adjacent vagina; with loop electrode conization biopsy(s) of the cervix 57460 Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix 57461 Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix Conization ICD-9 67.2, Conization of cervix, including cold knife or laser proc CPT/HCP 57520 Conization of cervix, including cold knife or laser CS 57522 Conization of cervix, including cold knife or laser Cauterization CPT 57510, 57511, 57513 Other surgical cautery of cervix ICD-9 67.32, 67.33 Conization of cervix, including cold knife or laser proc Procedure type Code Codes Description type Hysterectomy ICD-9 68.4x-68.9x Hysterectomy proc CPT 51925, 56308, 58150, Hysterectomy 58152, 58200, 58210, 58240, 58260, 58262, 58263, 58267, 58270, 58275, 58280, 58285, 58290-58294, 59525, 58548, 58550, 58552- 58554, 58570-58573, 58951, 58953, 58954, 58956, 59135 Cervical ICD-9 67.39 Other surgical destruction of cervix amputation/ proc 67.4 Trachelectomy (amputation of cervix) destruction 67.19 Other diagnostic procedure on cervix CPT 57530-57531 Trachelectomy (amputation of cervix) 57540, 57545, 57550, Excision of cervical stump 57555, 57556

CPT=Current Procedural Terminology; HCPCS=Healthcare Common Procedure Coding System; adapted from ICD-9=International Classification of Diseases, Ninth Revision (1998); LEEP=loop excision electrosurgical procedure