Results 1 to 5 of 5

gyn exam under anethesia/dilation & biopsy

  1. Default gyn exam under anethesia/dilation & biopsy
    Medical Coding Books
    Anyone know how to code a gyn exam under anethesia w/dilation & endometrial biopsy? Thanks!

  2. #2
    Milwaukee WI
    Default 58558
    NOT my area of expertise ... but would 58558 work?

    F Tessa Bartels, CPC, CEMC

  3. Default
    CPT 57410 for the pelvic exam under anesthesia
    CPT 58100 for the biopsy, although 58100 is bundled into 57410
    Bill the code with the highest RVU value for the most $$

  4. #4
    Milwaukee WI
    Default 58100 withOUT dilation
    58100 is WITHOUT dilation ... so I'm not sure that's correct.

    57410 would be bundled with 58558, so if the documentation supports 58558 you would not separately code for 57410.

    F Tessa Bartels, CPC, CEMC

  5. Default
    Let me re-phrase this: 57410 is an integral portion of the surgical procedure, therefore you would code 58100 for the biopsy which would also include 57410. CPT 58120 is a non-ob dilation and currettage but is also bundled with 58100.

    CPT 58558 is hysteroscopy, if this is a hysteroscopic procedure, than by all means, 58558 is the correct code. The original question did not mention hysteroscopy.

Similar Threads

  1. GYN Biopsy ?
    By RebeccaB in forum OB/GYN
    Replies: 0
    Last Post: 02-13-2014, 08:47 AM
  2. Replies: 2
    Last Post: 10-31-2013, 06:05 AM
  3. EGD wi dilation, fluoroscopy &59 modifier?
    By jcormier in forum Diagnosis Coding
    Replies: 1
    Last Post: 12-13-2010, 06:18 AM
  4. EGD w/Dilation and Biopsy
    By Britteo in forum Gastroenterology
    Replies: 4
    Last Post: 06-12-2010, 07:01 AM
  5. Biopsy with dilation and pyelograms
    By bethh05 in forum Urology
    Replies: 1
    Last Post: 02-23-2010, 03:45 PM

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.