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#1
05-08-2009, 06:30 AM
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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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#2
05-11-2009, 06:26 PM
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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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#3
05-12-2009, 11:58 AM
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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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Barbara Liimatta-CPC Last edited by BarbLiimatta; 05-12-2009 at 12:12 PM.
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#4
05-12-2009, 02:04 PM
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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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Karen Maloney, CPC Data Quality Specialist
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#5
05-14-2009, 08:06 AM
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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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