• 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 the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Removal Fibroid within Ovary 58661

S

SALAZAS

New
Messages
6
Location
Vacaville, CA
looking for help. The provider removed Rt ovary and notates 2 small fibroids within the ovary. CPT 58661 "lap" for the oophorectomy. Can I also bill 58545 for the fibroid or not since it was within the ovary?
 
I have not checked your codes, but if he did not remove a fibroid by itself, but it was within the ovary, then he did not remove the fibroid, he removed the ovary. The answer is no, not billable for fibroid removal.
 
SharonCollachi said:
I have not checked your codes, but if he did not remove a fibroid by itself, but it was within the ovary, then he did not remove the fibroid, he removed the ovary. The answer is no, not billable for fibroid removal.
Click to expand...
Thank you, that is my thought as well but needed another opinion in case the provider questions why I did not code/bill for 58558.
 
I'm certainly not a doctor, but I don't think fibroids can be in the ovaries. They can be on the various surfaces of the uterus (both interior and exterior) and originate in muscle. Maybe it was an ovarian fibroma (benign cyst)? If the note states fibroid in the ovary, there is a typo or transcription error somewhere.

Regardless, you cannot bill uterine fibroid removal since that is not what the physician did. And as Sharon answered, something contained in the ovary you removed cannot be billed separately.
 
You must log in or register to reply here.
Top