Wiki C-Section delivery with Excision of one para-tubal cyst

[RABBIT2020]

Would it be correct to bill 49203 for the excision of a paratubal cyst that occurred during a c-section delivery?

"A small left paratubal cyst was identified which was excised following the delivery"

My concern is it over-billing since it is in the same anatomical structure of the major procedure. Please advise.

 

[csperoni]

It is not overbilling to code for the services that were performed and medically necessary.
59510 & 49203 are not CCI edits, so I do not see an issue with billing them together. I can assure you the insurance will reduce payment on the second procedure (as they should). Performing 2 distinct procedures in the same anatomical structure does not inherently prohibit billing both.
I might question to ensure 58925 for ovarian cystectomy might be a better code vs 49203. 49203 is typically for a complex tumor removal, but could be correct here. 58925 is also not a CCI edit by the way.