The CPT® code 57454 accurately describes all procedures performed. This is a combination code that includes the colposcopy of the cervix, the cervical biopsy, and the endocervical curettage (ECC). When a single CPT® code exists that describes all components of a procedure performed during the same session, that single code must be used rather than reporting the components separately. The documentation supports the use of this comprehensive code.

A. 57456 is incorrect because it specifies a loop electrode biopsy (LEEP), which is a different procedure from the standard biopsy performed.

B. 57420 is incorrect as it represents a colposcopy of the vagina only, without any biopsy or curettage performed.

C. 57455 is incorrect because it includes the colposcopy and cervical biopsy but omits the separately performed endocervical curettage.

1. American Medical Association. (2023). CPT® 2024 Professional Edition. Section: Female Genital System

Vagina

Endoscopy/Laparoscopy

code descriptions for 57454

57455

57456. The code descriptor for 57454 explicitly states

"Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage."

2. AAPC. (2023). 2024 CPC Study Guide. Chapter 11: Female Reproductive System. The guide explains the hierarchy and bundling of colposcopy codes

clarifying that 57454 is the appropriate code when both a cervical biopsy and an endocervical curettage are performed with the colposcopy.