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CPT Code Help

  1. Default CPT Code Help
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    I'm looking for a little assistance with a CPT code. Doctor performed a microsurgical
    laparoscopic tubal reversal. The only code I can think of for the procedure is the unlisted code.
    I would really appreciate any opinions as OB/GYN is fairly new coding for me.



  2. Default
    58673 with lap, 58770 (without laproscopy) is the primary code. If used operating Microscope for microsurgery then+ 69990 as an addition to prim. code
    Though you do not get a code with the term "REVERSAL" in any Gyn code range, this 'ostomy' terminology will do, for reversal because the end to end anastomosis of the same side tube or from other side of the tube can be done with the name 'neostomy 'too, is what is taking place in reversal procedures.
    I think I am trying to be a bit more clear

  3. Default
    To be little more clear: the occluded tubal ends ( occulsion made by previous Sterilization/ ligation /occlusion procedure/ even after a deseased pathology) are reopened and re-anestamosis of the cut ends done laparoscopically with or without the aid of the operating Microscope- this procedure is called Salpingostomy and or Salpingoneostomy; in lay term to understand, we call it 'tubal reversal' - reversing to the original functional stautus of the tube along with anatomical regain.
    The CPT code numbers I have already mentioned.
    Last edited by preserene; 08-14-2010 at 09:57 PM.

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