Wiki GYN Surgical question

[dan528i]

Hello,

I need some help regarding gyn surg coding.

I have 58145-82: Myomectomy Sngl/Mx (Sep Procedure)
then 58260-82: Vag Hyst
then 57250-82: Post Colporrhaphy Repr Repair

Ins comp paid for 58260-82 and 57250-51-82 and denied 58145-82 for incidental.

NOTE*: my provider was 1st ass during surg.

Q.: Can I still appeal this as NOT incidental and if yes should I use mod. 51

THANKS in advance.

 

[amjordan]

Per the NCCI edits 58145 is a component of Column 1 code 58260 and cannot be unbundled using any modifier.

 

[dan528i]

Thank you VERY Much !!!

 

[imjsanderson]

In the future it is best to code the more expensive CPT of the 2 procedures. I know it may seem wrong to report the myomectomy when the patient also had a hysterectomy but this pays more and is what is recommended.

 

[dan528i]

Thanks alot for heads up