Ob-Gyn Coding Alert
Identify Modifiers in This IUD Removal/Insertion Scenario
PDF
Question: My physician removed an IUD hysteroscopically and reinserted a new device while in the OR. How should I bill this? Washington Subscriber Answer: You may have an uphill battle with this one. If the intrauterine device (IUD) was impacted in the uterine wall (and this must be documented), your code would be 58562 (Hysteroscopy, surgical; with removal of impacted foreign body) for the removal and then 58300 (Insertion of intrauterine device [IUD]) for the insertion. If this was done with assistance of hysteroscopy to visualize the old one (as in the strings would not be identified) but it was not impacted, then 58555 (Hysteroscopy, diagnostic [separate procedure]) with 58301-51 (Removal of intrauterine device [IUD]; Multiple procedures) and 58300-51 will be your best bet. Heads up: Recognize that some payers will not reimburse for both 58301 and 58300 at the same session, so you mighthave to go with 58301-22 (Increased procedural service) or 58301-59 (Distinct procedural service) for the removal with reinsertion. Check your payer code bundles to be sure.
Related Articles
Ob-Gyn Coding Alert
- Hysterectomy, Part 3:
2 Hysterectomy Op Notes Demonstrate What Documentation Makes the Grade — And What Doesn't
Missing language means you won't know what to code. In the previous two hysterectomy articles, [...] - Obstetrics:
Chronicle Complication Visits For Additional Pay Outside Global Package
Complications can occur both prior to the delivery and afterward. So you know you can [...] - Billing:
3 Tips Will Harmonize Your Billing Firm With Your Ob-Gyn Practice
Billers, practices must work together to ensure smooth claims processes. Busy ob-gyn practices that are [...] - You Be the Coder:
Open Ovarian Drilling
Question: Our patient was scheduled for a laparoscopic right oophorectomy along with left ovarian drilling. [...] - Reader Question:
Identify Modifiers in This IUD Removal/Insertion Scenario
Question: My physician removed an IUD hysteroscopically and reinserted a new device while in the [...] - Reader Question:
Here's How to Code Bladder Repair With Milk Infusion
Question: One of our doctors was consulted at the end of a c-section on a [...] - Reader Question:
Tackle This Vaginal Delivery With Uterine Inversion Scenario
Question: I have a patient that had a uterine inversion after a vaginal delivery. The [...] - Reader Question:
Get the 95 Guidelines Exam Portion Straight
Question: I have a old audit sheet that states for 1995 guidelines: Problem focused exam: [...] - Reader Question:
No Easy Solution to Open Paratubal Cystectomy With Myomectomy
Question: Our physician performed an open abdominal myomectomy and removed 19 fibroids. He also performed [...]
