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Wiki GYN Surgical question

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dan528i

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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.
 
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.
 
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