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Need help please

  1. #1
    Default Need help please
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    Physician did a laparoscopic ovarian cystectomy (L) with reduction of ovarian torsion(L) with excision of a pelvic mass in the posterior cul de sac. Pelvic mass measured 3 X 2 X 1 cm.

    How would you guys code this?

    Thanks in advance,
    Rhonda Green, CPC

  2. Default
    Could you think about this:
    58662 peritoneal surface (eg,cul-de-sac/POD/ rectouterine pouch ) mass excision with modifier 22 for ovarian torsion release and ovarian cystectomy is included in the 58662.

    Diagnosis codes: primary code: mass in the peritoneum goes for 625.8 (from Index) or more closer 568.89, it could be a cyst, granuloma, or endometrioma/pelvic endometriosis( so long as the physician did not document as pelvic endomerioma/ endometriosisorhydatid cysts like specifications). With other secondary diagnosis of ovarian cyst and torsion/ twisted Ovarian.

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