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Thread: 58953 & 58954 billable together?

  1. #1
    Join Date
    Apr 2007
    Posts
    59

    Default 58953 & 58954 billable together?

    Promo: Code Books
    My gyn-oncologist performed the following procedures due to malignancy:
    total abdominal hysterectomy
    bilateral salpingo-oophorectomy
    pelvic & periaortic lymphadenectomy
    omentectomy
    tumor debulking

    I would code this out at CPT 58954 alone (because of the ; and indentation of the descriptor), however, NCCI edits show that 58953/59 & 58954 are possible to bill together. I would appreciate help from anyone more familiar with these codes.

    Thank you!
    Jen

  2. #2
    Join Date
    Apr 2007
    Location
    Albany, New York
    Posts
    456

    Default

    I think I would go with 58954 alone.
    Karen Maloney, CPC
    Data Quality Specialist

  3. #3
    Join Date
    Apr 2007
    Location
    Providence
    Posts
    234

    Default

    You dont want to bill them together because 58953 is part of the 58954. The semicolon after the word debulking, tells you there is more to the description. The only time you would bill the 58953, if the lymphadenectomy was not performed. Since your surgeon did perform a salpingo-oophorectomy with omentectomy, total abdominal hysterectomy, debulking, and pelvic AND para-aortic lymphadenectomy then your code is 58954.

    I hope this helps,
    Kristen Richard, CPC
    Providence Chapter

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