dehrensberger1
Contributor
How is everyone coding a hysteroscopic removal of IUD when there are lost strings? I am using 58562 but am questioning if that is correct? Any insight would be appreciated. Thanks!
Hello Christine,58562 would be if the IUD is impacted. If the hysteroscopy is just to remove a non-impacted IUD because the strings are lost, 58562 is not the correct code. There is no exact code for that scenario, but I use 58555.
Per an article in AAGL https://newsscope.aagl.org/decoding-coding/office-hysteroscopy/
-An established patient presented for IUD removal. No strings were present on exam. I used the hysteroscope to find the strings and remove the IUD, but the IUD was not impacted. How do I code for this?
-There are two possible options. First, code a 58301 (Removal of IUD) with a -22 modifier to represent the additional work of the hysteroscope. It would be important to include the cost of the equipment that was separately used for the hysteroscope in the bill to the insurance company. Second, code a 58555 much like one might perform and bill for an ultrasound to confirm the presence of the IUD if the practice did not have access to office hysteroscopy. If the IUD was impacted or embedded into the myometrium, the documentation must clearly state that it was indeed impacted and then the 58562 code would be appropriate. Because she was an established patient and she came in purely for the IUD removal, there is no E&M to be coded. It would not be appropriate to bill for an ultrasound that showed a normally placed IUD and a 58555 since the hysteroscopy was used solely to find the strings and not to see if the IUD was impacted.
I believe this was answered already in the above thread. Please see my post from 03/13/2021 including the quote from AAGL article.What is the correct code for Hysteroscopy and removal of embedded intrauterine? I was thinking 58562-22