Article Figures & Data
Figures
- Figure 1.
Recommendations for Management of Women with Cytological Abnormalities According to 2001 ASCCP Consensus Guidelines.
- Figure 2.
Cervix before and after Application of Acetic Acid.
- Figure 3.
Cytobrush with Sleeve.
- Figure 4.
Management of Colposcopic Findings.
Tables
Abnormal Papanicolaou ASC-US* ASC-US twice ASC-US with high risk HPV types ASC-H LSIL HSIL AGC Cervical lesion Condyloma accuminata Polyp Vaginal lesion Warts Ulcers Vulvar lesion Genital warts Ulcer Mole concerning for melanoma Follow-up LEEP, cryotherapy, cone biopsy Intrauterine diethylstilbestrol exposure Sexual partner with genital warts or condyloma accuminata Sexual abuse * ASC-US, atypical squamous cells of undetermined significance; HPV, human papillomavirus; LSIL, low grade squamous intraepithelial lesion; HSIL, high grade SIL; AGC, atypical glandular cells; LEEP, loop electrosurgical excision procedure.
Category Reference Description Price Introductory book Sellers JW, Sankaranarayanan R. Colposcopy and treatment of cervical intraepithelial neoplasia, a beginners’ manual. Intl. Agency for Research on Cancer, 2003. 144 pages; introductory manual; may help implementation in developing countries $20.50 Soutter P, Soutter WP. A practical guide to colposcopy (Oxford Medical Publications). Oxford University Press; 1997. 272 pages; guide for those setting up a colposcopy clinic; ways of helping to minimize patient anxiety suggested $158.82 Luesley D, Shafi M, Jordan J (editors). Handbook of colposcopy, 1st Ed. Lippincott, Williams & Wilkins Publishers; 1996. 164 pages; based on course run by the British Society of Colposcopy and Cervical Pathology; introduction for beginners $67.50 Atlas and textbook Baggish MS, Baggish M. Colposcopy of the cervix, vagina, and vulva: a comprehensive textbook. Mosby, Inc.; 2003. 384 pages; textbook and atlas; color photos; discussion of colposcopy of the cervix, vagina and vulva followed by case illustrations $149.00 Colposcopy: a medical dictionary, bibliography, and annotated research guide to internet references. Icon Health Publications; 2003. 152 pages; terms related to colposcopy; bibliography, internet resources $34.95 Prendiville W, Ritter J, Tatti S. (Editors). Colposcopy: management options. WB Saunders Company; 2003. 160 pages; textbook and atlas; 120 color photographs $79.95 Apgar S. Spitzer M, Brotzman GL, Ignatavicius DD. Colposcopy: principles and practice: an integrated textbook and atlas. 1st ed. WB Saunders Company, 2002. 512 pages; textbook and atlas; color photos; highlights correlations between cytology, colposcopy and histology $99.00 Burghardt E, Pickel H, Girardi F. Primary care colposcopy: textbook and atlas, 1st Ed. Thieme Medical Publishers; 2002. 168 pages; textbook and atlas; equipment, training, exam techniques, normal and abnormal colposcopic findings, differential diagnosis and treatment $61.62 Singer A, Monaghan JM, Chong S. Lower genital tract precancer: colposcopy, pathology and treatment, 2nd Ed. Blackwell Science Inc.; 2000. 323 pages; textbook and atlas; new section on AIDS and chapter on pathology $230.95 CD-ROM Content Ordering Information Price Brotzman G, Spitzer, Apgar B. Colposcopy image library. National Procedures Institute; 2003. Over 800 colposcopic images linked to 31 key terms; demonstrate over 3000 colposcopic features American Society for Colposcopy and Cervical Pathology, 20 West Washington Street; Suite 1, Hagerstown, MD 21740, 800-787-7227, http://www.asccp.org/bookstore.shtml# $170 ASCCP members; $190 non-members Spitzer M, Jones H, Runowicz CD, Waggoner SE. Advanced colposcopy American College of Obstetrics and Gynecology/American Society for Colposcopy and Cervical Colposcopy; 2002. Interactive tutorials and 26 case presentations; 2001 Bethesda system terminology American Society for Colposcopy and Cervical Pathology, 20 West Washington Street; Suite 1, Hagerstown, MD 21740, 800-787-7227, http://www.asccp.org/bookstore.shtml# $175 ASCCP members; $195 non-members American Academy of Family Physicians. Colposcopy for the family physician; 1998 Video and audio clips, searchable text documents, interactive test American Academy of Family Physicians (AAFP), 11400 Tomahawk Creek Parkway, Leawood, KS 66211, 800-944-0000, http://www.aafp.org/x18319.xml $110 AAFP members; $140 non-members Anderson M, Jordan JA, Morse AR, Sharp F. Integrated colposcopy: for colposcopists, histopathologists and cytologists. Lippincott, Williams & Wilkins Publishers; 1997. Module 1: cytology, colposcopy and histology; Module 2: ∼1000 color images; Module 3: over 30 cases www.amazon.com $325 ICD-9 Code Description 078.11 Condyloma accuminata 078.19 Genital warts 616.50 Vulvar ulcer 616.8 Cervical ulcer 622.1 Abnormal Papanicolaou test 622.7 Polyp of cervix 624.8 Vulvar mole no specific diagnosis 654.60 Abnormality of cervix in pregnancy 995.53 Sexual abuse V01.7 Sexual partner with genital warts or condyloma accuminata CPT Code Description of Examination Medicare Prof Fee When Performed in Facility Medicare Prof Fee When Performed in Clinic Medicaid WI Physician Fee 56820 Colposcopy of the vulva 81.73 106.36 —* 56821 with biopsy(s) 112.93 143.45 —* 57420 Colposcopy of the entire vagina, with cervix if present 86.86 111.48 —* 57421 with biopsy(s) 120.61 152.17 —* 57452 Colposcopy of the cervix including upper vagina 81.73 108.44 —* 57454 With biopsy(s) of the cervix and endocervical curettage 126.85 153.21 90.47 57455 With biopsy(s) of the cervix 109.65 140.17 —* 57456 With endocervical curettage 102.68 132.51 —* 57460 With loop electrode biopsy(s) of the cervix 158.96 325.81 294.88 57461 With loop electrode conization of the cervix 187.96 357.57 —* 57500 Biopsy, single or multiple, or local excision of lesion, with or without fulguration (separate procedure) 56.4 132.36 56.20 57505 Endocervical curettage 85.24 98.08 59.80 57511 Cryocautery, initial or repeat 125.91 141.87 67.90 57522 Loop electrode excision 230.93 289.21 298.00 58100 Endometrial sampling (biopsy) 84.68 105.84 54.69 99170 Colposcopy of perineum 85.96 127.58 132.52 * No fee listed in schedule; fee based on individual consideration, medical consultant.
Note: fees are for Wisconsin. A geographic adjustment factor (GAF) between 0.84 and 1.30 is multiplied by a national figure to calculate state value.
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