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Wiki Endo Ablation w/ D&C

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rsrizzo

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Although it's not mentioned in the text, does the Ablation code 58353 include a D&C (58120)? If not, can they be coded seperately , and would a modifier be required? Thanks a lot
 
I am unable to post the op report. It clearly states that a D&C was done prior to ablation. Several surgeons perform D&C prior to the ablation. It has been questioned by our Billing Org. as to whether it is part of the ablation.
thanks!
 
This scenario equates to taking a biopsy of a lesion, then subsequently fulgurating that same lesion. In that case, only the fulguration is coded.
In your scenario, only the endometrial ablation should be coded.

Karen Maloney, CPC
Data Quality Specialist
 
If there's nothing in the op note about a lesion or fulguration,and there is no part of the CPT description that says it includes a pre-op D&C, why would it be included? Sorry, but I'm new to out patient Gyn coding
 
Ablation W/d & C

rsrizzo said:
Although it's not mentioned in the text, does the Ablation code 58353 include a D&C (58120)? If not, can they be coded seperately , and would a modifier be required? Thanks a lot
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WHAT TYPE OF ABLATION ARE THEY DOING ? ARE YOU CODING THE
CORRECT ABLATION ? TYPICALLY THE D & C IS INCLUDED. ESP. IF YOU
CHECK CCI EDITS, IT WILL TELL YOU THE D&C IS NOT ALLOWED
SEPARATELY.
 
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