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Appropriate code for fulguration of endometriosis?

  1. Thumbs up Appropriate code for fulguration of endometriosis
    Medical Coding Books
    I agree that 58662 is the proper code since it is the laparoscopic approach.

  2. #12
    cpt 58662 is the correct procedure code

  3. #13
    code 58662 is the correct code for what you are wanting

  4. Default Fulguration of endometrosis
    i have found code 58660 for laparscopic fulguration of (endometriosis) adhesions

    defined by ingenix endcoder pro as :
    The physician performs a laparoscopic surgical cutting/releasing (lysis) of scar tissue (adhesions) surrounding the ovaries and/or fallopian tubes with the assistance of a fiberoptic laparoscope. The physician may first insert an instrument through the vagina to grasp the cervix and manipulate the uterus during surgery. Next, the physician makes a small incision just below the umbilicus through which a fiberoptic laparoscope is inserted. A second incision is made in the abdomen with additional instruments being placed through these incisions into the abdomen or pelvis. The physician manipulates the tools so that the pelvic organs can be observed, manipulated and lysis of adhesions can be performed. The abdomen is deflated, the trocars removed, and the incisions are closed with sutures.

    for non laparscopic approach i use code 57740

    defined by ingenix endcoder pro as :
    The physician cuts free any fibrous tissue adhering to the ovaries or tubes through a small incision just above the pubic hairline.

    hope this helps!! Karen K CPC, Peoria, IL chapter

  5. Default
    Thanks for that 58662 is the code i would use also!

  6. #16
    Yes, 58662
    Anastasia, CPC, CASCC, COBGC

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