CPT^® 58146, Under Endometrial sampling, D&C and Uterus Tumor Excision Procedures

The Current Procedural Terminology (CPT^®) code 58146 as maintained by American Medical Association, is a medical procedural code under the range - Endometrial sampling, D&C and Uterus Tumor Excision Procedures.

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Summary

In this procedure, the physician excises 5 or more fibroid tumors of the uterus through an abdominal approach. The total weight of the tumors is greater than 250 g.

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C-Section with Fibroid excision

You bill 2 (or more) CPT codes when the work performed is not better described by 1 code. For example, if there was a code for C-section with removal of fibroids, that is what you would use. Since t... [ Read More ]

C-Section with Fibroid excision

Dear Csperoni and anybody who can explain to me why and when we bill 2 CPTs and when we don't. I will greatly appreciate your help. I will explain my confusion in this example/case above. My thinking ... [ Read More ]

C-Section with Fibroid excision

I would code the fibroid removal during the c-section the same as any multiple procedure that is not a CCI edit. 1) Whatever the appropriate CS code is 2) 58140 Myomectomy, excision of fibroid tumor(s... [ Read More ]

58146 & 58740

Yes, 58740 for lysis of adhesions is always bundled (column 2 code) with 58146 abdominal myomectomy. If there are extensive adhesions, requiring significant additional time/work, then -22 on 58146 ma... [ Read More ]

58146 & 58740

OB/GYN -New York GHI is requesting refund on CPT code 58740 Codes billed- 58558- N92.0 N85.2 58146 59- D25.0 D25.2 N85.2 58740- N73.6 Is there a modifier to bill on 58740 for it to be payable? Or... [ Read More ]

Abdominal myomectomy, polypectomy, ovarian cyst

I don't think there is a code for an open endometrial polypectomy. I would code 58140 or 58146 (depending on number and/or weight of the myomas) for the myomectomy and 58925 for the ovarian cystectom... [ Read More ]

Need help with coding Gyn sx.

Provider is billing 58146 with 44005, however there is a CCI. The op report indicates procedure is Abdominal Myomectomy however within the report it is indicated that he did dissect off the rectus mu... [ Read More ]

dx lap turns to laparatomy/myomectomy

[QUOTE="natfos6, post: 291297, member: 9758"]not sure how to code, new to ob coding. dx lap turned to open laparatomy with bil salp/ooph and myomectomy/lysis of adhesions. any assistance would be appr... [ Read More ]

Looking for Assistant with Multiple Procedures

[QUOTE="paynemedbill, post: 198301, member: 80501"]Our provider performed the following multiple procedures on patient: D&C hysteroscopy, hysterscopic submucous myomectomy and cervical myomectomy, di... [ Read More ]

Help w/CPT Code

[QUOTE="malynch, post: 196433, member: 38559"]My physician performed the following surgery and I need help with the appropriate CPT code(s): 1. Pfannenstiel laparotomy 2. Adhesiolysis 3. Subserosal m... [ Read More ]

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