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Thread: Laparoscopic Ovarian cystectomy

  1. #1

    Default Laparoscopic Ovarian cystectomy

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    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
    Nina

  2. #2
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    Apr 2007
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    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
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    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 01:12 PM.
    Barbara Liimatta-CPC

  4. #4
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    Apr 2007
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    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. #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??

    thanks!

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