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laparoscopy procedures

  1. Question laparoscopy procedures
    Medical Coding Books
    Hello all,

    I have an doctor that performed a laparoscopic bilateral salpingo-oophorectomy and myomectomy.

    Part of op note:
    "After both adnexa were detached, the fibroid was also coagulated and excised with no bleeding."

    58661 and 58545 or would this be included? I didn't see any bundling issues per CCI.


  2. Default
    You are correct - they can be billed separately - I would code the myomectomy first 58545 and the 58661 second - higher RVU's for 58545. Janet

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