54057 Destruction of lesion(s); penis (e.g. condyloma, papilloma, molluscum contagiousum, herpetic vesicle), simple; laser No $71.81* 54060 Destruction of lesion(s); penis (e.g. condyloma, papilloma, molluscum contagiousum, herpetic vesicle), simple; surgical excision No $121.18* 54065 Destruction of lesion(s); (e.g. condyloma, papilloma, molluscum contagiousum, herpetic vesicle), extensive; (e.g. laser surgery, electrosurgery, cryosurgery, chemosurgery) No $139.32* 56501 Destruction of lesion(s) vulva; simple (laser surgery, electrosurgery, cryosurgery, chemosurgery) No $79.25* 56515 Destruction of lesion(s); vulva; extensive (e.g. laser surgery, electrosurgery, cryosurgery, chemosurgery) No $138.60* 56605 Biopsy of vulva or perineum (separate procedure); one lesion No $51.25* Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to the 56605 billing code for primary procedure.) No $23.77* 56820 Colposcopy of the vulva; No $68.06* 56821 Colposcopy of the vulva; with biopsy(s) No $91.16* 57061 Destruction of vaginal lesion(s); simple (laser surgery, electrosurgery, cryosurgery, chemosurgery) No $68.87*
99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two (2) of these three (3) key components: a comprehensive history; a comprehensive examination; and medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend forty (40) minutes face-to-face with the patient and/or family. Apply FP modifier if visit is only to prevent or delay pregnancy or to otherwise control family size $82.60* 99384 Initial comprehensive preventative medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient, adolescent (age 12 through 17 (All providers of these services must meet all MaineCare Benefits Manual, Section 94 “Early, Periodic, Screening, Diagnostic and Treatment (EPSDT)” periodicity requirements for MaineCare members up to their twenty-first (21) birthday.) Apply FP modifier if visit is only to prevent or delay pregnancy or to otherwise control family size $62.06* 99385 Initial comprehensive preventative medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient, adolescent age 18-39 (All providers of these services must meet all MaineCare Benefits Manual, Section 94 “Early, Periodic, Screening, Diagnostic and Treatment (EPSDT)” periodicity requirements for MaineCare members up to their twenty-first (21) birthday.) Apply FP modifier if visit is only to prevent or delay pregnancy or to otherwise control family size $61.43*