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Thread: Laparoscopic removal of cyst

  1. #1
    Join Date
    Apr 2007
    Coeur D'Alene, Idaho

    Question Laparoscopic removal of cyst

    AAPC: Back to School
    I'm new to the OB/GYN world and I'm wondering how you would normally code the laparoscopic excision of a para-tubal cyst. I'm looking at 58662...is that correct?

    Any help is appreciated! Thanks!!

  2. #2
    Join Date
    Apr 2007
    Bangor, Maine


    It looks right to me, but below is the CPT Assistant description of the surgery so read it and make sure that it matches the op note as far as how the cyst was removed.

    CPT Lay Descriptions
    10021 - 19396 30000 - 39561 50010 - 59871 70010 - 79445 90281 - 99607
    20000 - 29907 40490 - 49906 60000 - 69990 80047 - 89356 0016T - 0222T


    The physician performs a laparoscopic electrical cautery destruction of an ovarian, pelvic or peritoneal lesion with the assistance of a fiberoptic laparoscope. The physician may first insert an instrument through the vagina to grasp the cervix and manipulate the uterus during surgery. Next, the physician makes a small incision just below the umbilicus through which a fiberoptic laparoscope is inserted. A second incision is made on the left or right side of the abdomen with additional instruments being placed through these incisions into the abdomen or pelvis. The physician manipulates the tools so that the pelvic organs can be observed, manipulated and operated upon with the laparoscope. Once lesions are identified with the laparoscope, a third incision is typically made adjacent to the lesion through which an electric cautery tool, knife, or laser is inserted for lesion fulguration. The abdomen is deflated, the trocars removed and the incisions are closed with sutures.

  3. #3
    Join Date
    Apr 2007
    Salt Lake city


    I bill 58662 I read in an ACOG bOOK that this is the correct code.

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