If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Pt. had Rt Salpingectomy, Rt Paratubular Cystectomy and Exploratory Laparotomy. I have it as 58700 and 49000,51 but I'm having some trouble finding a code for the paratubular cystectomy. Any help would be greatly appreciated.....
The 49000 is included in and will bundle with the 58700 (no modifier allowed). There isn't a specific code for the paratubal cystectomy. If I was coding for this procedure alone, I'd use one from the 49203-49205 range, depending on the size, but you can't bill a 49203 with the 58700 - the 58700 will bundle in with the 49203 (no modifier allowed).
In this case the cystectomy is on the same side as the salpingectomy, and I'm pretty certain any carrier is going to consider it incidental to the salpingectomy. If your physician spent a significant amount of extra time & effort on the cystectomy, your best choice is to put a -22 on the 58700 & make a case for extra $$.