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OB Surgery Procedure

  1. #1
    Exclamation OB Surgery Procedure
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    Can someone give me their input on how to code for a "Hysteroscopy with D&C and a Laparoscopy with Right Oophorectomy"? I have a coder here on staff who insists on coding this multi procedure as 58720 RT only. My suggestion was to bill "Hysteroscopy with D&C (58558 and Laparoscopy with Right Oophorectomy 58661). This is not an area of expertise for me so any help is appreciated.


  2. #2
    58720 is incorrect--that code is for an open procedure, not a laparoscopic one. The hysteroscopy & laparoscopy are 2 separate procedures with 2 separate approaches. 58661 & 58558 is the correct way to code this.

    Becky, CPC

  3. #3
    Pasadena, CA

  4. Default
    You are correct. 58558, 58661; but append modifier -59 to one with more RVU to identify.

    ( Modifier -59 may be used with the primary procedure if that procedure has the higher RVU. Most often, it will be added to a code that is a separate procedure performed for a reason unrelated to the primary procedure)
    Then why you are right is, here you go: Hysteroscopy is a different route of access to its destination(uterus), from Laparoscopy which is with its diffrent route through vagina/abdominal, towards the entry into the pelvic cavity ( adenexa). Both are different scopies, meant for different purposes; procedure, organ distination and everything is different. They cannot be bundled.

    58720 is not Scopy Code. it is an open procedure

  5. #5
    Thanks so much everyone

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