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Thread: Resectoscopic Polypectomy

  1. #1

    Default Resectoscopic Polypectomy

    AAPC: Back to School
    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
    Join Date
    Apr 2007
    Watertown, NY


    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
    Join Date
    Apr 2007
    Kansas City, MO


    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
    AAPC of Kansas City
    National Advisory Board Representative Region 5

    Medical Revenue $olutions
    Senior Managing Consultant


  4. #4
    Join Date
    Apr 2007
    Burlington, MA

    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
    Join Date
    Apr 2007
    Lincoln, NE


    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 01:21 PM.

  6. #6


    Thanks for all of your responses--very helpful.

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