Sterilization at time of C- Section - provider wants to use 58700

Cmama12

Guru
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As is the trend these days, when providers are doing a tubal sterilization - they are removing the entire tube(s), not just ligate. Our providers want to use 58700 even with a C-Section.

Just wondering if you have experienced this and what your thoughts are?
 

Babsss

Networker
Local Chapter Officer
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I did not see any CCI edits with the 58700 code. Have you billed it and gotten anything back?
 

Cmama12

Guru
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It's a separate procedure code and those do not usually come up in CCI edits. I don't see anyway of justifying it as a separate body system, it's the same incision, etc etc. The funny thing is I have seen them get paid. But just because they get paid doesn't mean it's correct.
 

Anastasia

Guru
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READING PA
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Use 58611 with a C-section. That is the only code to use when done during the C-section. Modifier 51 is not used with it.
 
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