Results 1 to 4 of 4

CPT 58823 for Females Only?

  1. #1
    Default CPT 58823 for Females Only?
    Exam Training Packages
    Hello all! I'm having a dispute with my CT Techs as to how to charge a procedure. This patient has many issues, so I am going submit the part that is the center of discussion right not.
    To keep it short, The CT techs think 58823, 75989 are the appropriate charges, however I think 10160, 75989, 10160-59, 75989-59 because 2 abscesses were treated are more accurate based on dictation and guidelines. *On another note, even if the patient is male, can 58823 still be used being that the code does say pelvic abscess with a transrectal approach. I dont see any other verbiage that states 58823 is for women exclusively even though it's under the Ovary section...any input would be great!

    Thanks again!

    The report in question is as follows... sorry for the extensiveness, but I thought it would be more beneficial to have it for review.

    FINDINGS: A CT scan is performed of the abdomen and pelvis with the
    patient prone for localizing purposes. This is performed without
    contrast. The four abscess collections identified on the MRI are also
    identified on the CT scan. This includes a 2.8-cm collection of fluid
    along the superior margin of the right SI joint. This will be drained
    with the first drainage catheter. A second abscess is seen deep to the
    gluteus maximus muscle on the right, about 8 cm x 5 cm in diameter.
    This will be drained with the second abscess drainage catheter. There
    is an abscess anterior to the right SI joint within the deep pelvis
    about 3.5 cm in diameter. This will not be drained today but I will
    bring the patient back tomorrow to try to drain this. Finally, there
    is a small perirectal abscess located between the rectum and the
    prostate gland slightly to the right of midline measuring about 2.9
    cm. This will not be drained today and I do not believe that this can
    be easily drained percutaneously.
    The first small
    collection of fluid above the right SI joint is identified with CT
    scan. The skin is prepped with Chloraprep. Lidocaine is used for local
    anesthesia. Lidocaine needle is introduced into the abscess which
    confirms the presence of pus. Next, using a single-stick method, an
    8-French abscess drainage catheter is inserted into this fluid
    collection. I was able to remove about 10 cc of thick pus. The abscess
    cavity was irrigated until clear. A small amount of contrast was
    The first small
    collection of fluid above the right SI joint is identified with CT
    scan. The skin is prepped with Chloraprep. Lidocaine is used for local
    anesthesia. Lidocaine needle is introduced into the abscess which
    confirms the presence of pus. Next, using a single-stick method, an
    8-French abscess drainage catheter is inserted into this fluid
    collection. I was able to remove about 10 cc of thick pus. The abscess
    cavity was irrigated until clear. A small amount of contrast was

  2. Default
    I've recently heard that denials were coming in for CPT 58823 on male patients. Although the code descriptor does not include gender in it, the location of the code is in CPT Sub category Female Genital System and then listed under Ovary...Based on that alone I would be reluctant to use that code on male patients without further guidance.

    Perhaps CPT 45000, if performed transrectally would be more appropriate for male patients.
    No references to cite on this one...

    Hope this helps,
    Last edited by ciphermed; 10-16-2009 at 12:24 PM.
    Anthony McCallum, CPC, CIRCC, CPC-I, CCS
    ciphermed@optonline.net

  3. #3
    Default
    Thanks for your input. This procedure was simply 2 abscess drainages with the drain tubes left in. So, that is why I advised the CT dept that charging 58823 was not correct. They picked the charge that said pelvic abscess drainage, not paying attention to the patient's gender. Thank goodness for Coders!!!!

    Thanks again!

    Candy

  4. #4
    Default CPT 58823 for Females Only?
    Agreed - the common consensus around here is that the Ovarian section means it's a no-no \for males. We typically will code 49021 for the males when it is the percutaneous drainage because I don't think it's appropriate to use 45000 because it's a transanal incision code.
    S. Michelle Waters, CPC

Similar Threads

  1. Does cpt code 64450 include cpt s0020?
    By micki127 in forum Anesthesia
    Replies: 1
    Last Post: 04-23-2014, 10:40 AM
  2. Opinion on physicians supplying surgical cpt cpt codes
    By ORTHO1 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 02-17-2010, 04:15 PM
  3. Modifier for coding CPT 64612 & CPT 64613 on same day
    By anuja.devasthali in forum Modifiers
    Replies: 2
    Last Post: 08-22-2009, 12:33 AM
  4. Coding for CPT 97140 & CPT 97035
    By neha.bhatnagar in forum Modifiers
    Replies: 5
    Last Post: 06-10-2009, 12:01 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.