Wiki Hysteroscopic D&C with Fibroid removal

[Tiffaney]

Does anyone do Myosure’s/ Hysterscopic Fibroid Removal as an in office Procedure?
If so, how do you reconcile the reimbursement difference between Hysteroscopic D&C vs the myosure. The D&C is less work often times but higher reimbursement vs Myosure more work but lower reimbursement. Anyone had success in getting paid for both D&C and myosure at the same time? Does anyone have any tricks to make this happem?

 

[MKESSINGER]

We use the Myosure sometimes with patient who have a Hysteroscopic D&C. The rep from the company told me that a fibroid removal would be done at the hospital as outpatient surgery and you would bill cpt 58561, but if you are using the Myosure with Hysteroscopic D&C for bleeding, and/or polyp removal then there isn't a separate reimbursement and cpt code 58558 is the only one you can bill.

 

[such78]

58561 is also included D&C. IF the surgeon clearly indicated removal fibroid during D&C with hysteroscopy, I would like to assign 58561 instead of 58558.