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Wiki Need help w/ CPT for DIag. Lap after a failed D & C

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sfirth1

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Patient was scheduled for D & C due to miscarried at 9 weeks. Procedure could not be preformed. Physician did an exploratory diagnostic laparoscopy and repaired cervical laceration. Need advise on how to code. I'm thinking it would be 59820-52 for unsuccessful D & C but not sure if I can add 49320-51 and 57720-59.
 

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sfirth1 said:
Patient was scheduled for D & C due to miscarried at 9 weeks. Procedure could not be preformed. Physician did an exploratory diagnostic laparoscopy and repaired cervical laceration. Need advise on how to code. I'm thinking it would be 4900-51, 59820-52 and 57720-59.
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Could you post the op note (sanitized of course) so we can see all of the procedures performed? 59820 is a missed abortion which means the fetus is still in place at the time of surgery, but you are only describing a diagnostic laparoscopy.. And 4900 (missing a final digit) would be an abdominal procedure, not laparoscopic.
 
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Yes, please post the op note - that would make things clearer. I am guessing you mean 49320? If the cervical laceration occurred during the attempted D&C, then you can't bill for the repair, unless the repair was done by a different doctor.
 
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