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Ob-Gyn Coding Alert

Reader Question:

LUNA

Published on Tue May 01, 2001

Question: My physician did a laparoscopy with excision of endometriosis and a laparoscopic uterosacral nerve ablation (LUNA) procedure. How do we code a LUNA procedure?

Georgia Subscriber

Answer: The LUNA is best coded by adding modifier -22 (unusual procedural services) to the primary procedure. But keep in mind that this procedure will never have a separate procedure code, because it is considered investigational and does not cure pelvic pain in the long run, so many payers will not reimburse for it at all.


Answers to You Be the Coder and Reader Questions provided by Melanie Witt, RN, CPC, MA, an ob/gyn coding expert and independent coding educator based in Fredericksburg, Va.
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