Uterine Ablation


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I'm new to OBGYN coding for a multipractice group, and was given this procedure: Laparoscopy with uterine nerve ablation. The report clearly indicates a diagnostic lap, (49320), but I'm not sure about the uterine ablation. The note says: Uterine nerve ablation is performed using a LigaSure device transecting the uterosacral ligaments bilaterally and proximally near the insertion to the uterus. Thanks for any help.
I believe that this is also sometimes referred to as a "LUNA". I havent seen one of these in quite a while but if I remember correctly I had to use an unlisted procedure code.

I am very interested in seeing what others are doing for this procedure as well.
Laparoscopic Uterine Nerve Ablation

Coding Clinic for HCPCS, Third Quarter 2006 Page: 3

Question 3:

What is the appropriate code assignment(s) for a laparoscopic uterine nerve ablation (LUNA) procedure?


Currently, there is no CPT code that specifically describes a LUNA procedure. Therefore, it would be appropriate to report code 58578, Unlisted laparoscopy procedure, uterus.

Dr.Mohd Ali Hadi CPC, CPC-H