Reader Questions:
Paratubal Cyst Not Equal to an Ovary
Published on Tue Feb 07, 2006
Question: I found two different codes, 58661 and 58662, for paratubal cyst done laparoscopically. Which one would be the correct code?
New York Subscriber
Answer: You should use 58662 (Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method), not 58661 (Laparoscopy, surgical; with removal of adnexal structures [partial or total oophorectomy and/or salpingectomy]).
Removal of a paratubal cyst is not the same thing as removing an ovary or fallopian tube. If your ob-gyn documents removal of part of the ovary along with the cyst, however, you would report 58661 instead.
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