AAPC - Back to school
Results 1 to 2 of 2

Thread: cpt code 58340

  1. #1

    Default cpt code 58340

    AAPC: Back to School
    I am trying to help someone that had a procedure done and her physicians office used code 58340S and DX code 256.4. The claim was denied as the physician she uses is a fertility MD. She was pregnant, had a miscarriage and rather than doing a D & C because the physician felt she had a small uterus and it might cause problem for future pregnancy he gave a pill. They did a procedure ( it think ultrasound) and felt they saw something on the uterus so she underwent a sonohysterography to determine what this was. The doctor feels that it is a remnant of placenta that is still there or a calcium deposit. What Dx code could be used to help get this resubmitted and possibly paid as well as reports, letter from MD etc to have it go to audit. DX code 256.4 is for polycystic ovary and she does not know why the physicians office used it as she does not have polycistic ovaries. Any help would be appreciated.....This is out of my expertise as I code General Surgery but am trying to help her get this reconsidered. Thanks

  2. #2
    Join Date
    Apr 2007
    Charleston, WV


    Has she contacted her physician's office to see if they are appealing the denial? They may already be correcting the claim and resubmitting.

    What was the reason for the denial? We know the dx does not exactly match the proc but was that the reason it was denied? It could have been denied for another reason that is easier to correct.

    Of course, the codes depend on the physician's documentation. Absent that, we can only guess. If the documetation supports the calcification, 621.8 could be used. If it is a placenta remnant, the miscarriage code would be used, probably 632.

    Hope that is some help.

Similar Threads

  1. CPT code 99050 vs CPT code 99051
    By Rperry in forum Compliance General Discussion
    Replies: 2
    Last Post: 10-29-2014, 09:52 AM
  2. dx for 58340
    By twpawlowski in forum Diagnosis Coding
    Replies: 0
    Last Post: 08-15-2013, 11:50 AM
  3. 58340 and 76831 hitting an edit ??
    By Orthocoderpgu in forum OB/GYN
    Replies: 0
    Last Post: 06-07-2012, 09:58 AM
  4. Overread CPT code 76140 vs Original CPT code
    By nperry@umc.edu in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 06-23-2011, 07:19 AM
  5. Can you bill 76831 & 58340 together?
    By Orthocoderpgu in forum OB/GYN
    Replies: 4
    Last Post: 06-07-2011, 05:28 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?


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.