AAPC - Back to school
Results 1 to 3 of 3

Thread: Help!

  1. #1

    Question Help!

    AAPC: Back to School
    fulgrated endometriosis via laparoscopy 58662 and then ovarian drilling was then performed on the right ovary due to the sclerotic changes that were evident and there was clear fluid that was removed.

    This completed the procedure. The CO2 was removed, as were the laparoscopic instruments.

    58679 (unlisted) compare to 58970 for the ovary drilling??? thanks!

  2. #2


    This is from "Pink Sheets" March 2009:

    Unlisted code your best bet
    for open ovarian drilling
    Question: The ObGyn uses Endoshears and cautery
    on each ovary to drill six small holes in each ovary
    and also release some fluid from polycystic cysts. A
    total abdominal hysterectomy also was performed.
    I am not sure whether to report the procedure with
    58805 (drainage of ovarian cysto[s], unilateral or
    bilateral [separate procedure]; abdominal approach)
    because the description states that the fluid is removed,
    but in this case the fluid was only allowed to drain and
    was not aspirated from the cavity.
    Answer: Ovarian drilling also is known as ovarian
    electrocautery, which is a form of fulguration (def:
    the destruction of tissue, usually malignant tumors,
    by means of a high-frequency electric current applied
    with a needlelike electrode). Based on the information
    given, we can assume the ovarian drilling was
    performed via an open approach, since a TAH also was
    performed. Therefore, even though ovarian drilling is
    most typically performed laparoscopically, code 58662
    (laparoscopy, surgical; with fulguration or excision
    of lesions of the ovary, pelvic viscera or peritoneal
    surface by any method) does not apply in this case,
    since the approach wasn’t laparoscopic. Note: For laparoscopic
    ovarian drilling, ACOG recommends 58662
    One possibility is 58805, but unfortunately, this
    code is generally understood to include aspiration of
    the fluid in the ovary, but in the reader’s case, the fluid
    was released (i.e., drained), but not aspirated. Also
    note that 58805 is classified as a separate procedure
    in CPT, which means that when it is reported with
    another procedure performed in the same general anatomic
    area, it’s included and won’t be paid separately.
    In this case, therefore, you should consider reporting
    unlisted code 58999 (unlisted procedure, female
    genital system [nonobstetric]) for the ovarian drilling.
    Another alternative is 49203 (excision or destruction,
    open, intra-abdominal tumors, cysts or endometriomas,
    1 or more peritoneal, mesenteric or retroperitoneal primary
    or secondary tumors; largest tumor 5 cm diameter
    or less).

  3. #3


    Thanks imjsanderson...If it is possible could you fax me the pink sheet at 574-247-3350 attn: Jamie for future use....Thanks for the help info!

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.