Ob-Gyn Coding Alert

Reader Questions:

Examine Ovary Along With Dermoid Cyst Removals

Question:

What CPT code should I report for the removal of a dermoid cyst via a laparoscope?

Tennessee Subscriber

Answer:

You need to carefully read your ob-gyn's op and pathology report. You would report 58662 (Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method) if the ob-gyn removed no part of the ovary with the cyst. On the other hand, you would report 58661 (... with removal of adnexal structures [partial or total oophorectomy and/or salpingectomy]) if the ob-gyn removed part of the ovary along with the cyst.