Wiki salpingo-oophorectomy left, oophorectomy right

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Alta

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If a patient has a salpingo-oophorectomy left and just an oophorectomy right, there is no differentiation in the 58661 because it says and/or, so one code for both in CPT.

ICD-9(65.31 ooph and 65.41 salp-ooph) does differentiate. My question is, would you code it as 58661-left, 58661-right or 58661-50. Not the same thing was done on each side, but the CPT code is the same for each side in CPT. See what I am saying?
 
Hope this helps you.

58661 The physician performs a laparoscopic surgical removal of one or both ovaries and their accompanying fallopian tubes with the assistance of a fiberoptic laparoscope
 
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