Wiki hysteroscopy dilation with ablation aborted

[TanBro]

I just want to confirm I'm thinking of the correct CPT code. Doc did a Bilateral salpingectomy (58661) with a Hysteroscopy dilation and endometrial ablation (58563). My question is when proceeding to do the ablation it was unsuccessful and it was aborted, should I still code 58563 with modifier 52? It was a aborted due to attempting to place the endometrial ablation device was unsuccessful and when they tried again they noticed a small tear in the cervical canal.

Thanks in advance.

 

[natashalage]

Hello, I am a new coder and still learning but here are my thoughts. I will code Hysteroscopic procedure with modifier 53. Modifier 53 is for incomplete procedure when there was a medical obstruction that prevented to complete the procedure intended. 52 modifier is when MD does it intentionally - incomplete procedure.

 

[TanBro]

Hello, I am a new coder and still learning but here are my thoughts. I will code Hysteroscopic procedure with modifier 53. Modifier 53 is for incomplete procedure when there was a medical obstruction that prevented to complete the procedure intended. 52 modifier is when MD does it intentionally - incomplete procedure.

Even though they did the Hysteroscopic D&C and just aborted the ablation?

 

[Cmama12]

Hi Tanya, if there was a completed procedure, then you would code that. So 58558 for the hyst d&c and 58661.

 

[TanBro]

Hi Tanya, if there was a completed procedure, then you would code that. So 58558 for the hyst d&c and 58661.

But they attempted the ablation twice, do they not get any reimbursement for that?

 

[nielynco]

But they attempted the ablation twice, do they not get any reimbursement for that?

You could possibly add a modifier -22 to 58558 if the extra work was significant and well documented. Otherwise, some are easy, some are hard. I would not report 58563 as this procedure was not performed.

 

[TanBro]

You could possibly add a modifier -22 to 58558 if the extra work was significant and well documented. Otherwise, some are easy, some are hard. I would not report 58563 as this procedure was not performed.

That is exactly what I did. Thankyou so much

 

[gebbs.133@gebbs.com]

When bilateral 58661 is performed, should modifier 50 be used?

 

[TanBro]

When bilateral 58661 is performed, should modifier 50 be used?

Yes, if its left use LT, if right use RT, if both use 50. I my office we double the price on bilateral. Hope this helps