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attempted hysteroscopy, laparoscopy

  1. Default attempted hysteroscopy, laparoscopy
    Medical Coding Books
    Hello all ASC Ob/Gyn coders,

    was planning a 58558 (hysteroscope w/ D&C)

    patient was dilated scope was inserted and noted in the intraperitoneal, bowel and fat were seen w/ scope; and therefore, the scope was removed
    Patient was then prepped for laparoscope to check injury which showed no bleeding. Bladder was filled w/ methylene blue solution to make sure of no bladder injury. Hysteroscopy and endometrial currettings was not pursued.

    would you only bill 49320 or 58558-74 and 49320? Any thoughts?

  2. #2
    For this case you can only capture the procedures that were actually completed/performed.

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