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Need some help- Operative Hysteroscopy

T

TYSON1234

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160
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Montrose, MI
Pt. had a Fx D & C, Operative Hysteroscopy, Removal/Replacement of retained IUD, how would I code this? I don't know if I should use 58562 (technically it's not impacted) or do I use 58555. Any advice would be appreciated, thanks.
 
What is Fx D&C? Did the physician do a hysteroscopic D&C and removal of the IUD under the hysteroscope? Or a diagnostic hysteroscopy, then the IUD removal? :)

Lisa Scott, CPC, COSC
 
Fx D&C is abbreviation for Fractional D&C (where Dr. obtains endocervical curettings before she uses the hysteroscope. If I have this correct, I need to bill 58558, 58301-51, 58300-59 and J7302.
 
I would replace the 59 modifier with the 51 modifier and bill them in the order you have listed. Hope that helps.
 
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