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Urology Coding Alert

Reader Question:

Append Modifier -62 for Double Bill

Published on Mon Feb 09, 2004

Question: A patient presents for a combined incontinence correction procedure and vaginal hysterectomy. Her gynecologist performs the hysterectomy, and our urologist corrects the incontinence using the Marshall-Marchetti-Krantz procedure. How should we code this procedure?

Massachusetts Subscriber
 
Answer: Use code 58267 (Vaginal hysterectomy, for uterus 250 grams or less; with colpo-urethrocystopexy [Marshall-Marchetti-Krantz type, Pereyra type] with or without endoscopic control) appended with modifier -62 (Two surgeons) if the uterus weighs less than 250 gram.

If the patient's uterus weighs more than 250 grams, both the gynecologist and the urologist should report 58293 (Vaginal hysterectomy, for uterus greater than 250 grams; with colpo-urethrocystopexy [Marshall-Marchetti-Krantz type, Pereyra type] with or without endoscopic control), also each with modifier -62. If the procedure is done abdominally, use CPT code 58152 (Total abdominal hysterectomy [corpus and cervix], with or without removal of tube[s], with or without removal of ovary[s]; with colpo-urethrocystopexy [e.g., Marshall-Marchetti-Krantz, Burch]) with modifier -62.

- Answers to You Be the Coder and Reader Questions contributed by Michael A. Ferragamo, MD, FACS, clinical assistant professor of urology, State University of New York, Stony Brook, New York; and Morgan Hause, CCS, CCS-P, privacy and compliance officer for Urology of Indiana LLC, a 22-urologist practice in Indianapolis.
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