Ob-Gyn Coding Alert

Know the Codes for Hysteroscopy

From the Ob-Gyn Coding Alert
Extra Supplement on Endoscopic Procedures

 

Being familiar with the eight codes that represent hysteroscopy can ensure that your ob-gyn practice receives all the reimbursement it rightfully deserves when physicians perform this service.

  • 58555 Hysteroscopy, diagnostic (separate procedure)
  • 58558 Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D&C
  • 58559 with lysis of intrauterine adhesions (any method)
  • 58560 with division or resection of intrauterine septum (any method)
  • 58561 with removal of leiomyomata
  • 58562 with removal of impacted foreign body
  • 58563 with endometrial ablation (e.g., endometrial resection, electrosurgical ablation, thermoablation)
  • 58579 Unlisted hysteroscopy procedure, uterus.

    Although 58563 does not specifically include dilation and curettage (D&C), the American College of Obstetricians and Gynecologists(ACOG) coding committee has determined that because ablation consists of removing the uterine lining and a D&C scrapes off a portion of the lining, the D&C is included as part of the ablation if the ob/gyn performs both during the same session.

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