How To Use CPT Code 57170

CPT 57170 describes the fitting of a diaphragm or cervical cap by a healthcare provider, along with providing instructions to the patient on self-insertion. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 57170?

CPT 57170 is used to describe the procedure in which a healthcare provider fits a patient with a diaphragm or cervical cap and provides instructions on how to self-insert the device. The purpose of a diaphragm is to prevent sperm from entering the uterus during intercourse, while the cervical cap can be used for collecting menstrual flow or assisting in artificial insemination. It is important to note that the cervical cap is not a contraceptive.

2. Official Description

The official description of CPT code 57170 is: ‘Diaphragm or cervical cap fitting with instructions.’

3. Procedure

1. The healthcare provider begins by inserting a fitting ring into the patient’s vagina and covers the opening to the uterus.
2. Based on the patient’s comfort, the provider selects the largest ring that fits properly.
3. There are different types and sizes of diaphragms available, and the provider chooses the appropriate one for the patient.
4. If a cervical cap is being fitted, it is placed around the cervix to block most sperm from entering the uterus.
5. The healthcare provider educates the patient on the proper type and size of diaphragm or cervical cap and provides detailed instructions on how to insert and position the device on their own.
6. For diaphragm use, the provider may also advise the patient to use spermicidal cream or jelly in conjunction with the diaphragm.

4. Qualifying circumstances

CPT 57170 is performed when a patient requires a diaphragm or cervical cap fitting and instructions for self-insertion. The procedure is typically done for contraceptive purposes or to assist in artificial insemination. The healthcare provider must ensure that the patient is educated on the proper use and care of the device.

5. When to use CPT code 57170

CPT code 57170 should be used when a healthcare provider fits a patient with a diaphragm or cervical cap and provides instructions on self-insertion. It is important to note that this code should not be used for contraceptive counseling or other related services.

6. Documentation requirements

To support a claim for CPT 57170, the healthcare provider must document the following information:

• Patient’s need for a diaphragm or cervical cap fitting
• Type and size of the diaphragm or cervical cap used
• Date of the fitting
• Instructions provided to the patient on self-insertion
• Any additional information or counseling provided
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 57170, ensure that the procedure is performed by a qualified healthcare provider. It is important to follow the specific guidelines and requirements set by the payer. Additionally, it is essential to review any bundling or unbundling rules that may apply to this code.

8. Historical information

CPT 57170 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A healthcare provider fitting a patient with a diaphragm and providing instructions on self-insertion for contraceptive purposes.
2. A provider fitting a patient with a cervical cap and educating them on how to use it during artificial insemination.
3. A healthcare professional fitting a patient with a diaphragm and providing instructions on self-insertion for contraceptive purposes.
4. A provider fitting a patient with a cervical cap and educating them on how to use it during artificial insemination.
5. A healthcare provider fitting a patient with a diaphragm and providing instructions on self-insertion for contraceptive purposes.
6. A provider fitting a patient with a cervical cap and educating them on how to use it during artificial insemination.
7. A healthcare professional fitting a patient with a diaphragm and providing instructions on self-insertion for contraceptive purposes.
8. A provider fitting a patient with a cervical cap and educating them on how to use it during artificial insemination.
9. A healthcare provider fitting a patient with a diaphragm and providing instructions on self-insertion for contraceptive purposes.
10. A provider fitting a patient with a cervical cap and educating them on how to use it during artificial insemination.