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Resectoscopic Polypectomy

  1. #1
    Default Resectoscopic Polypectomy
    Medical Coding Books
    Doctor performed the above procedure by dilating cervix, inserting operative resectoscope and removing polpy by loop coagulator. The only procedure codes I'm finding don't seem to fit the description. Help would be appreciated.

  2. #2
    Default
    i dont know about the resectoscope but look at codes 57460 (with direct visualization, colposcopy a binocular microscope),
    57522 (without colposcopy)
    good luck,

  3. #3
    Location
    Kansas City, MO
    Posts
    751
    Default
    From my research a resectoscope is the same thing as a hysteroscope, just a little bigger. So, I would look at the hysteroscopy code 58558. Anyone else have info regarding this?
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013
    angela@medicalrevenuesolutions.com

  4. #4
    Default Resectoscope
    I agree with Angela. Having read many op notes for hysteroscopic procedures, the doctors often refer to the resectoscope as an added piece of hardware, during the same procedure.

  5. #5
    Default
    I see multiple specialties use the resectoscope from urology, colorectal surgery, gynecology. I would not code the hysteroscopy without precise documentation from the provider that he entered the uterus. I would query the provider ....is the polyp uterine or cervical?

    Julie, CPC
    Last edited by jdrueppel; 03-08-2009 at 02:21 PM.

  6. #6
    Default
    Thanks for all of your responses--very helpful.

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