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Experienced Coder, No OB/GYN Experience needs help

  1. #1
    Default Experienced Coder, No OB/GYN Experience needs help
    Medical Coding Books
    Physician sees pt in ofc for menorrhagia & iron-def anemia. Attempts Hysteroscopy w/ ablation but cannot due to large polyp filling entire cavity. Physician plans hospital procedure and dictates H&P same day of ofc visit.
    Four days later, on same patient, physician performs a resection of endometrial lesion, endometrial resection and ablation.
    Ins co is UHC
    Am I correct in coding as follows:
    Ofc visit-
    submitting documentation with claim
    Hosp procedure -

  2. Default
    I would code the first encounter with 58563-53, then 58563-58 for the second encounter.
    I have been OB/Gyn coding for just 6 months, so would like to know more thoughts from a more experienced coder.

  3. #3
    Thanks for your thoughts. I agree with the -53 modifier on ofc procedure.

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