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Removal of peritubular cyst vaginal

  1. Default Removal of peritubular cyst vaginal
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    Hi - I was wondering if anyone could help me as to how to code a removal of a peritubular cyst - vaginal approach. Our doctor did a vaginal hysterectomy and also removed a peritubular cyst. Any ideas on how to code this?

  2. Default
    CPT code range 58260- 58294 which ever is appropriate. The peritubal cyst excision becomes a part of the major procedure.( most often it is incidental in these procedures) If it involved more extensive work , cumbersome and time consuming, then Modifier 22 ,with the physician pertinent documentation.
    Hope this helps.

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    What could would you use if c-section was preformed with a Peritubular cystectomy abdominally? Every thing points to 58262 but a hysterectomy was not preformed. Thank you! Sheri

  4. Default
    You code first the cesarean code as the case be. Then,
    Hysterectomy code should not be used for this.
    It is not documented as ovarian cyst ; so no code from ovarian cystectomy also.

    This is a peritubal cyst or mass- so a cyst intra abdominal - excision open
    procedure; and depending upon the size you would code either one of 49203- 49205.

    You would code first the Cesarean code as the case be.Then you would code the 492xx with the modifier -59..
    I hope this helps you better.

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