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Ob-Gyn Coding Alert

Reader Questions:

57800-22 or 58301-22 for IUD Removal

Published on Sat Jan 01, 2005

Question: Which is better for cervical dilation with removal of an IUD (intrauterine device) under anesthesia, code 57800-22 or 58301-22?

Rhode Island Subscriber Answer: Dilation of the cervix is an integral component of IUD removal. If you look at the RVUs, you will see that this can be done in the hospital under anesthesia as well, and you would still use 58301 (Removal of intrauterine device [IUD]). 
 
If the ob-gyn had to dig to get the IUD out and describes significant work, modifier -22 (Unusual procedural services) may be appropriate.
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