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I have a question regarding what code to use for laparoscopic salpingectomy without removal of the ovaries? Also what is the code when the fulgurates the tubes. What is the CPT code for that? Thank you.
In regard to 58661 would this also apply if the physician does a right partial salpingectomy via robotic due to salpingitis not for sterilization? A previous coder billed this surgery as a 58661 and insurance denied it, i did my research and i am gearing towards changing 58661 to 58670. Wanted to find any input, it would be appreciated. Thank youWhen posting questions, it helps to show that you already researched the question, but are not sure of your answer, and include what code(s) you are considering. This way it can be more of a conversation to help everyone learn. See suggestions below.
58600 Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral
58661 Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) 58670 Laparoscopy, surgical; with fulguration of oviducts (with or without transection)
THE DENIAL WAS FOR ICD 10 CODE THAT WAS USED WHICH WAS N70.91 - SALPINGITIS.Hi, 58661 is complete or partial so would be the correct code. What was the reason for the denial? 58670 is fulguration of the tube, which was not performed.
Based on the information provided, 58661 seems to be the correct CPT. The diagnosis of salpingitis seems like a perfectly acceptable reason to remove the fallopian tube. Is the denial that the ICD10 does not justify the procedure? Or that the ICD10 is "unspecified"? Or some other diagnosis related denial?THE DENIAL WAS FOR ICD 10 CODE THAT WAS USED WHICH WAS N70.91 - SALPINGITIS.