Endo Ablation w/ D&C

[rsrizzo]

Although it's not mentioned in the text, does the Ablation code 58353 include a D&C (58120)? If not, can they be coded seperately , and would a modifier be required? Thanks a lot

[trose45116]

can you post the op report

[rsrizzo]

I am unable to post the op report. It clearly states that a D&C was done prior to ablation. Several surgeons perform D&C prior to the ablation. It has been questioned by our Billing Org. as to whether it is part of the ablation.
thanks!

[magnolia1]

This scenario equates to taking a biopsy of a lesion, then subsequently fulgurating that same lesion. In that case, only the fulguration is coded.
In your scenario, only the endometrial ablation should be coded.

Karen Maloney, CPC
Data Quality Specialist

[mlccpc]

If there's nothing in the op note about a lesion or fulguration,and there is no part of the CPT description that says it includes a pre-op D&C, why would it be included? Sorry, but I'm new to out patient Gyn coding

[LODIWO]

Originally Posted by rsrizzo

Although it's not mentioned in the text, does the Ablation code 58353 include a D&C (58120)? If not, can they be coded seperately , and would a modifier be required? Thanks a lot

WHAT TYPE OF ABLATION ARE THEY DOING ? ARE YOU CODING THE
CORRECT ABLATION ? TYPICALLY THE D & C IS INCLUDED. ESP. IF YOU
CHECK CCI EDITS, IT WILL TELL YOU THE D&C IS NOT ALLOWED
SEPARATELY.

[imjsanderson]

CCI edits bundle 58120 with 58353, it is included.