Ob-Gyn Coding Alert

READER QUESTIONS:

Hold On to IUD Dollars by Submitting 58301 Only

Question: My ob-gyn did a laparoscopic removal and insertion of an intrauterine device (IUD) in the hospital setting. Should I report the insertion with 58300 and the removal with 58301? Are there any other codes I should report? Tennessee Subscriber Answer: You should report the removal of an IUD (through the cervix, which is the only accepted way of doing this service) with 58301 (Removal of intrauterine device [IUD]). Ideally, you would be able to report the insertion with 58300 (Insertion of intrauterine device [IUD]) as well, and the American College of Obstetricians and Gynecologists (ACOG) has indicated that you can bill for both. But many payers continue to deny claims where you report codes for both the insertion (58300) and removal (58301) on the same day, despite no correct coding initiative (CCI) bundle preventing you from reporting this code combination. What's worse is that payers often pay only the [...]
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