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GYN Surgical question

  1. Default GYN Surgical question
    Medical Coding Books

    I need some help regarding gyn surg coding.

    I have 58145-82: Myomectomy Sngl/Mx (Sep Procedure)
    then 58260-82: Vag Hyst
    then 57250-82: Post Colporrhaphy Repr Repair

    Ins comp paid for 58260-82 and 57250-51-82 and denied 58145-82 for incidental.

    NOTE*: my provider was 1st ass during surg.

    Q.: Can I still appeal this as NOT incidental and if yes should I use mod. 51

    THANKS in advance.

  2. #2
    Kansas City, MO
    Per the NCCI edits 58145 is a component of Column 1 code 58260 and cannot be unbundled using any modifier.
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013

  3. Default
    Thank you VERY Much !!!

  4. Default
    In the future it is best to code the more expensive CPT of the 2 procedures. I know it may seem wrong to report the myomectomy when the patient also had a hysterectomy but this pays more and is what is recommended.

  5. Default
    Thanks alot for heads up

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