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Old 03-13-2012, 06:17 AM
LP0801 LP0801 is offline
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Default CPT for D&C (nonobstetrical) & (postpartum)

Does anyone out there know the difference in CPT 58120 [Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)] & CPT 59160 (Curettage, postpartum)?

Patient delivered on Feb. 19. Since then she has been experiencing bleeding. Ultrasound indicated that she had retained placental fragments. On Mar. 6 a d&c was done. I need to know what the appropriate CPT would be? Is it the 58120 or 59160? CPT 59160 inidicates that this code is to be used for postpartum curettage. Would patient still be considered postpartum or is CPT 58120 appropriate?
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Old 03-13-2012, 06:54 AM
srinivas r sajja srinivas r sajja is offline
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it's 59160 , it's still postpartum
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Old 03-13-2012, 06:55 AM
NJune NJune is offline
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If a dilation was performed you have to use code 58120. In my coding companion book it states: because the postpartum uterus has been previously dilated during delivery of the newborn, dilation is not required for this surgery. This code is only to be used for postpartum curettage. For dilation and curettage, diagnostic and/or therapeutic (nonobstetrical), see 58120.

Last edited by NJune; 03-13-2012 at 06:58 AM.
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Old 03-13-2012, 08:38 AM
LP0801 LP0801 is offline
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Well, how about if doctor had to dilate the cervix (even if postpartum). Wouldn't that be 58120? But, the dx is 667.12 (retained portions of placenta or membranes w/o hemorrhage delivered, w/mention of pp complication. Which leads me to 59160. Still undecided as to what the appropriate codes to use.
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Old 07-05-2012, 01:30 PM
kaynerd kaynerd is offline
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Quote:
Originally Posted by Lisa4557 View Post
Well, how about if doctor had to dilate the cervix (even if postpartum). Wouldn't that be 58120? But, the dx is 667.12 (retained portions of placenta or membranes w/o hemorrhage delivered, w/mention of pp complication. Which leads me to 59160. Still undecided as to what the appropriate codes to use.
According to ACOG Coding Manual 2011 pg 393, dilation of the cervical canal is included in CPT 59160, so I would say that 59160 would be the appropriate procedure code.
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