Results 1 to 2 of 2

Hysterosalpingogram with selective catheterization

  1. Post Hysterosalpingogram with selective catheterization
    Medical Coding Books
    Procedure: hysterosalpingogram with selective catheterization.
    Indication: infertility.
    Complications: none.
    Anesthesia: none.
    Contrast: Ultravist 300, 30-ml.

    Fluoroscopy time: 94 seconds.

    Immediately prior to the procedure, a urine pregnancy test was
    performed.
    Urine pregnancy test result: negative.

    Procedure description: The patient was placed in lithotomy
    position and a vaginal speculum was inserted. After cleansing the
    external os with Betadine solution, the cervical os was cannulated
    with a 7F hysterosalpingography catheter. The catheter balloon was
    inflated and contrast injection was performed with fluoroscopic
    control. There was opacification of the uterine cavity. There was
    no opacification of the right fallopian tube. There was no
    opacification of the left fallopian tube. The balloon was then
    deflated and catheter was removed. A 5F Berenstein catheter was
    then used to perform selective catheterizations. Selective
    contrast injections were performed with the catheter positioned at
    the junction of the right cornual portion of the uterine cavity an
    right fallopian tube and left cornual portion of the uterine
    cavity and left fallopian tube. The catheter was removed. The
    patient tolerated the procedure well.

    Findings: The size and shape of the uterine cavity was normal. The
    uterine cavity was displaced toward the right hemipelvis. There
    was opacification of the right fallopian tube. The right fallopian
    tube was normal in course and caliber with free peritoneal
    spillage. There was no opacification of the left fallopian tube,
    despite selective catheterization.

    IMPRESSION:
    1. Normal uterine cavity. Uterine cavity displaced toward the
    right hemipelvis.
    2. Normal appearing left fallopian tube with free peritoneal
    spillage. Selective catheterization was required to achieve
    opacification of and spillage from the right fallopian tube.
    3. Proximal left fallopian tube occlusion, despite selective
    catheterization.

    Fluoroscopically-guided guidewire recanalization of the left
    fallopian tube may be considered, if indicated.
    catheterization.

    Fluoroscopically-guided guidewire recanalization of the left
    fallopian tube may be considered, if indicated.

    Can CPT 58340 along with 58345 be coded for the above case? Thank you for your time.

  2. #2
    Default
    only 58345 can be reported - the the other code is used for diagnosic procedures. 58345 includes everything in 58340.

Similar Threads

  1. hysterosalpingogram and then sonohysterogram
    By Girlzsmom66 in forum OB/GYN
    Replies: 2
    Last Post: 07-08-2015, 11:12 AM
  2. Hysterosalpingogram coding
    By lscire in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-01-2013, 07:59 PM
  3. Sonohysterogram/hysterosalpingogram
    By BRETT in forum OB/GYN
    Replies: 0
    Last Post: 04-11-2012, 09:01 AM
  4. POS for Hysterosalpingogram
    By melheffley in forum OB/GYN
    Replies: 2
    Last Post: 08-19-2010, 09:19 AM
  5. Hysterosalpingogram
    By yt in forum OB/GYN
    Replies: 1
    Last Post: 05-06-2009, 04:17 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.