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Billing/Coding CPT 49000 with 58720 & 58558

  1. #1
    Default Billing/Coding CPT 49000 with 58720 & 58558
    Medical Coding Books
    Can anyone help? I have a question where an insurance company is denying CPT 49000 (Exploratory laparotomy, exploratory celiotomy with or without bopsy(s) (spearate procedure). The bill also includes CPT 58720 (Salpingo-oopherectomy, complete or partial, unilateral or bilaterl (separate procedure) and CPT 58558 (Hysteroscopy, surgical; with sampling of enometrium and/or polypectomy, with or without D & C.

    If the notes show that the original procedure was just for exploration and when they got in there and found that they needed to do the other 2 procedures, can these all be billed together?


    Heather MacPherson, LPN, CPC, CPC-H

  2. #2
    Milwaukee WI
    Default No
    The exploratory lap can be billed ONLY when it is the only thing done.

    If, as a result of the exploration, you discover a problem and go on to surgically correct it (as happened in your case), you code only the surgery that was actually performed (excision, resection, repair, etc)

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Thanks Tessa

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