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Old 05-08-2009, 06:30 AM
ninchik ninchik is offline
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Default Laparoscopic Ovarian cystectomy

I am a little unsure about this.
A D&C of cervix was done first. After that, a physician used a laparoscope and excised an ovarian cyst at its base then the cyst was also removed and the base was cauterized. Cyst was sent to pathology.
Do I code 57800 and 58661? I am not sure if 58661 is removal of the ovarian cyst, it seems that this code is for the removal of the ovary?
Please help.
thank you
Nina
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Old 05-11-2009, 06:26 PM
pahtrisha pahtrisha is offline
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Rule of thumb is, use 58661 if any part of the ovary is excised along with the cyst. If just the cyst is removed, 58662.

Not sure what a "D&C of the cervix" is - never heard of it. Perhaps you mean ECC - endocervical curretage? The code you have listed (58700) is reported when instruments are used to dilate a cervix (usually because it is stenotic) - and anyway, it is a CPT separate procedure and so not reportable here based on the info you have provided.

Hope this helps,
Patricia CPC COBGC
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Old 05-12-2009, 11:58 AM
BarbLiimatta BarbLiimatta is offline
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I use 58925 for the ovarian cystectomy and 58611 modifier -59 for the oophorectomy which the laparoscopy is included in the procedure. I had a similiar op report yesterday.
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Last edited by BarbLiimatta; 05-12-2009 at 12:12 PM.
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Old 05-12-2009, 02:04 PM
magnolia1 magnolia1 is offline
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CPT 58662 is the correct code for Laparoscopic Ovarian Cystectomy.
58925 and 58611 are not laparoscopic procedures. 58611 should not be billed with modifier 59 because this is an add-on code and is performed in junction with a Cesarian section or other intra-abdominal surgery.
Without further description of the D&C procedure, I cannot suggest a code.
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Old 05-14-2009, 08:06 AM
Jamie Dezenzo Jamie Dezenzo is offline
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I would go w/ 58662 for the ovary procedure and would only use 58661 of part of the ovary was taken w/ the cyst.
Our facility usually sees 58558 or 58120 for the D&C??? Could you post that part of the op note??

thanks!
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