tloeb
Networker
It is becoming very common for our OB/Gyn's to use a hysteroscope to remove possible retained POC after an initial D&C when a patient is presenting for continued bleeding. I sent a question to ACOG sometime ago regarding the best code to use and their response was:
This email is in response to your coding question: Missed AB and retained products of conception via hysteroscope.
The complicating factor in this case is that there is no hysteroscopic maternity code—not even an unlisted hysteroscopic maternity code.
The American Hospital Association’s (AHA) Coding Clinic advises that CPT code 59812 Treatment of incomplete abortion, any trimester, completed surgically, should be used in this case as this code best represents the intent of the procedure (4th Quarter 2021, page 12). The AHA advises against the use of 58558 Hysteroscopy, surgical; with sampling (biopsy of endometrium and/or polypectomy), with or without D & C because the procedure is not consistent with the intent of this code. However, the ACOG Committee for Health Economics and Coding (CHEC) recommends the use of 58558 in this situation because it captures the tools and work associated with the procedure—particularly if the service is provided in an office setting.
I am not having any denial issues using 58558 for retained POC, yet. I am curious how others are billing for these?
Thanks!
This email is in response to your coding question: Missed AB and retained products of conception via hysteroscope.
The complicating factor in this case is that there is no hysteroscopic maternity code—not even an unlisted hysteroscopic maternity code.
The American Hospital Association’s (AHA) Coding Clinic advises that CPT code 59812 Treatment of incomplete abortion, any trimester, completed surgically, should be used in this case as this code best represents the intent of the procedure (4th Quarter 2021, page 12). The AHA advises against the use of 58558 Hysteroscopy, surgical; with sampling (biopsy of endometrium and/or polypectomy), with or without D & C because the procedure is not consistent with the intent of this code. However, the ACOG Committee for Health Economics and Coding (CHEC) recommends the use of 58558 in this situation because it captures the tools and work associated with the procedure—particularly if the service is provided in an office setting.
I am not having any denial issues using 58558 for retained POC, yet. I am curious how others are billing for these?
Thanks!
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