Results 1 to 5 of 5

Laparoscopic Ovarian cystectomy

  1. Default Laparoscopic Ovarian cystectomy
    Medical Coding Books
    I am a little unsure about this.
    A D&C of cervix was done first. After that, a physician used a laparoscope and excised an ovarian cyst at its base then the cyst was also removed and the base was cauterized. Cyst was sent to pathology.
    Do I code 57800 and 58661? I am not sure if 58661 is removal of the ovarian cyst, it seems that this code is for the removal of the ovary?
    Please help.
    thank you

  2. #2
    Rule of thumb is, use 58661 if any part of the ovary is excised along with the cyst. If just the cyst is removed, 58662.

    Not sure what a "D&C of the cervix" is - never heard of it. Perhaps you mean ECC - endocervical curretage? The code you have listed (58700) is reported when instruments are used to dilate a cervix (usually because it is stenotic) - and anyway, it is a CPT separate procedure and so not reportable here based on the info you have provided.

    Hope this helps,
    Patricia CPC COBGC

  3. #3
    I use 58925 for the ovarian cystectomy and 58611 modifier -59 for the oophorectomy which the laparoscopy is included in the procedure. I had a similiar op report yesterday.
    Last edited by BarbLiimatta; 05-12-2009 at 12:12 PM.
    Barbara Liimatta-CPC

  4. #4
    Albany, New York
    CPT 58662 is the correct code for Laparoscopic Ovarian Cystectomy.
    58925 and 58611 are not laparoscopic procedures. 58611 should not be billed with modifier 59 because this is an add-on code and is performed in junction with a Cesarian section or other intra-abdominal surgery.
    Without further description of the D&C procedure, I cannot suggest a code.
    Karen Maloney, CPC
    Data Quality Specialist

  5. Wink
    I would go w/ 58662 for the ovary procedure and would only use 58661 of part of the ovary was taken w/ the cyst.
    Our facility usually sees 58558 or 58120 for the D&C??? Could you post that part of the op note??


Similar Threads

  1. ovarian cystectomy and ovarian cystotomies
    By bluke13 in forum OB/GYN
    Replies: 0
    Last Post: 06-06-2013, 05:36 PM
  2. laparoscopic assisted ovarian cystectomy
    By karey in forum OB/GYN
    Replies: 2
    Last Post: 05-08-2013, 12:23 PM
  3. Open or Laparoscopic ovarian cystectomy
    By 0913@70 in forum OB/GYN
    Replies: 2
    Last Post: 04-09-2013, 06:19 PM
  4. Replies: 1
    Last Post: 04-30-2012, 05:13 PM
  5. Laparoscopic ovarian cystectomy
    By LisaLMay in forum OB/GYN
    Replies: 1
    Last Post: 11-09-2010, 07:41 AM

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.