Results 1 to 5 of 5

Thread: GYN Surgical question

  1. #1

    Default GYN Surgical question

    Promo: Code Books
    Hello,

    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
    Join Date
    Apr 2007
    Location
    Kansas City, MO
    Posts
    749

    Default

    Per the NCCI edits 58145 is a component of Column 1 code 58260 and cannot be unbundled using any modifier.
    Angela Jordan, CPC
    AAPC of Kansas City
    National Advisory Board Representative Region 5

    Medical Revenue $olutions
    Senior Managing Consultant

    angela@medicalrevenuesolutions.com

  3. #3

    Default

    Thank you VERY Much !!!

  4. #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. #5

    Default

    Thanks alot for heads up

Similar Threads

  1. GYN Surgical Coding
    By kathycorreia in forum Billing/Reimbursement
    Replies: 1
    Last Post: 05-08-2014, 11:55 AM
  2. gyn surgical op note-HELP
    By sohand in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 02-06-2011, 09:48 AM
  3. Surgical GYN Onc
    By DanielleKiehl in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 06-03-2009, 10:31 AM
  4. Surgical GYN Onc
    By DanielleKiehl in forum General Surgery
    Replies: 0
    Last Post: 06-03-2009, 10:30 AM
  5. GYN surgical procedure help!!
    By dmaec in forum OB/GYN
    Replies: 3
    Last Post: 03-20-2009, 11:50 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?

Login

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.