Hysteroscopy and IUD insertion

cfordCPC

Networker
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Hello All,

If an IUD insertion is done at the time of a hysteroscopy, would the IUD insertion be consider a bundled service? If not, is there a modifier that can be added for the IUD instertion? I have a claim that denied the IUD insertion (CPT 58300) stating "cannot have multiple primary surgical procedures on same DOS", the hysteroscopy (CPT 58558) was paid paid on.

Thanks so much.
 

kathyvl74

Networker
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Elgin IL
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I'm assuming you have different diagnosis codes on the procedures. Add modifier 59 to the iud insertion code
 
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Hello All,

If an IUD insertion is done at the time of a hysteroscopy, would the IUD insertion be consider a bundled service? If not, is there a modifier that can be added for the IUD instertion? I have a claim that denied the IUD insertion (CPT 58300) stating "cannot have multiple primary surgical procedures on same DOS", the hysteroscopy (CPT 58558) was paid paid on.

Thanks so much.

58558 and 58300 are billable with no modifier needed.
However, 58558 is billed when Hysteroscopy is done with D&C...otherwise, Hysteroscopy alone should be coded as 58555 only, and it would still be billable with the 58300 with no modifier needed.

Hope this helps.

Rena
 

kathyvl74

Networker
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45
Location
Elgin IL
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Since the service was denied, the insurance may want the modifier 59 added. But yes it should not be needed
 
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