Ob-Gyn Coding Alert

Ob-Gyn Coding:

Identify the Correct Fibroid Resection Code

Question: A gynecologist performs saline infusion sonohysterography on a 42-year-old patient who presented with heavy menstrual bleeding, infertility, and recurrent pregnancy loss. The physician found a 2.4 cm intracavitary submucosal leiomyoma and distortion of the endometrial cavity during the imaging exam. The gynecologist then performed a hysteroscopic removal of the submucosal fibroid in the ambulatory surgical center (ASC).

What CPT® code best describes the hysteroscopic resection of the submucosal fibroid?

Pennsylvania Subscriber

Answer: CPT® code 58561 (Hysteroscopy, surgical; with removal of leiomyomata) best represents the hysteroscopic resection of the submucosal fibroid. This code is the most accurate because the gynecologist removed the fibroid using a hysteroscope.

Uterine Fibroids Illustration – Female Reproductive System and Myometrial Growths Diagram

Coders might be tempted to use 58558 (… with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C) to report the procedure, but that is incorrect because the physician removed a leiomyoma — they didn’t just perform a biopsy or polypectomy.

Mike Shaughnessy, BA, CPC, Production Editor, AAPC