Ob-Gyn Coding Alert
READER QUESTIONS:
Use 58145 for Transvaginal Myomectomy
Published on Tue Mar 21, 2006
Question: The ob-gyn performed a transvaginal myomectomy. He did not use an operative hystero-scope. Should I report 58561-52? Is this my best choice for coding?
Wyoming Subscriber
Answer: No, 58145 (Myomectomy, excision of fibroid tumor[s] of uterus, 1 to 4 intramural myoma[s] with total weight of 250 grams or less and/or removal of surface myomas; vaginal approach) is the better choice because it is the vaginal approach code.
You should not use 58561-52 (Hysteroscopy, surgical; with removal of leiomyomata; reduced services) because the more accurate code (58145) is available that describes the procedure your ob-gyn performed.
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