Michigan Physician Services
Bloomfield Hills, Mich.
Answer: Submit this procedure using 58999 (unlisted procedure, female genital system [non-obstetrical]) and include documentation of what was done. You should value the procedure at a rate similar to 49000 (exploratory laparotomy, exploratory celiotomy with or without biopsy[s] [separate procedure]). Your insurer may well look at the situation and consider it an exploratory laparotomy (49000) anyway, but since there was actual work done on the ovary, try the unlisted procedure code and see what the carrier says.