LEEP, also known as the Loop Electrosurgical Excision Procedure, is a minimally invasive surgical procedure used to remove aberrant cervical tissue. It is typically used in situations where a Pap test or colposcopy reveals cervical dysplasia, precancerous lesions, or early-stage cervical cancer.
How Does LEEP Work?
In the LEEP surgery, aberrant tissue is carefully excised from the cervix using a fine wire loop that has been heated by an electric current. The loop wire minimizes bleeding by cutting and cauterizing the region at the same time. This approach ensures that the diseased tissue is removed while the healthy tissue surrounding it is preserved.
When is LEEP Recommended?
LEEP is recommended in various situations, including:
Cervical Dysplasia Diagnosis: When a Pap smear or colposcopy finds abnormal cells in the cervix, LEEP can be done to remove the problematic tissue for further investigation.
Treatment of Precancerous Lesions: LEEP is frequently used as a therapeutic intervention to remove precancerous lesions, thereby preventing cervical abnormalities from progressing.
Early-stage Cervical Cancer: In some instances, LEEP can be used in place of more invasive surgical procedures like hysterectomy for early-stage cervical cancer patients.
CPT Code for loop electrosurgical excision procedure
Depending on the particulars of the surgery, one or more CPT codes for the Loop Electrosurgical Excision surgery (LEEP) may be utilized. Some of the important codes are listed below:
57460: Cervical colposcopy, including upper/adjacent vagina; with loop electrode cervix biopsy(s).
57461: Cervical colposcopy with upper/adjacent vaginal loop electrode excision procedure(s).
57522: Cervical conization with or without fulguration, dilatation and curettage, repair; loop electrode excision procedure(s) (LEEP).
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