Wiki D&C Hysteroscopy with Myosure

[klapetri@ilovemygyn.com]

OB/GYN: NY

When physician preforms,

1.D&C Hysteroscopy with Myosure resection

2. Hysteroscopic myomectomy with Myosure

What additional cpt codes can we bill?


Appreciate the feedback

 

[csperoni]

I guess my first question would be in addition to what??
Second question is what is being resected??

In my practice, the physicians use the myosure to either resect a polyp, or a fibroid.

If polyp, 58558 covers it all
58558 - Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C

If fibroid, 58561.
58561 - Hysteroscopy, surgical; with removal of leiomyomata

FYI - It's usually helpful if you put what you think the codes might be, to show your thought process so others can assist.

 

[such78]

I guess my first question would be in addition to what??
Second question is what is being resected??

In my practice, the physicians use the myosure to either resect a polyp, or a fibroid.

If polyp, 58558 covers it all
58558 - Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C

If fibroid, 58561.
58561 - Hysteroscopy, surgical; with removal of leiomyomata

FYI - It's usually helpful if you put what you think the codes might be, to show your thought process so others can assist.

That is how the surgeon confuses me sometime. I usually check the result from the pathology report is polyp or fibroid to assign the CPT code.