PARTIAL HYSTERECTOMY 58180

[klapetri@ilovemygyn.com]

cpt code
58180
58661 (51,220

billed together

BCBS is denying cpt 58661 stating "Contractual Obligation - The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated

Any suggestions

 

[csperoni]

Couple of things here...
58180 is OPEN supracervical hysterectomy with or without removal of tubes and/or ovaries
58661 is LAPAROSCOPIC removal of adnexal structures (tubes and/or ovaries)

1) You clearly cannot bill for the same service twice, which you would be by billing both codes
2) Even if 58180 did not include removal of tubes and/or ovaries, it would be highly suspicious to have an open and a laparoscopic procedure during the same surgery. If the physician attempts laparoscopic, and needs to convert to open, then you only bill the open.

Hope that helps!

 

[klapetri@ilovemygyn.com]

Thank you, yes it does!

I have another question, would I be able to DM you?

 

[csperoni]

Glad to assist. DM me anytime!

 

[klapetri@ilovemygyn.com]

Glad to assist. DM me anytime!

would you mind to DM me? I'm not sure how

 

[csperoni]

Done. FYI - there are a few ways.
The easiest is if you hover over someone's name in either a posting, or even in forums or what's new, there is an option in the popup window to "Start conversation".

would you mind to DM me? I'm not sure how