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Uterine Ablation

  1. Default Uterine Ablation
    Medical Coding Books
    I'm new to OBGYN coding for a multipractice group, and was given this procedure: Laparoscopy with uterine nerve ablation. The report clearly indicates a diagnostic lap, (49320), but I'm not sure about the uterine ablation. The note says: Uterine nerve ablation is performed using a LigaSure device transecting the uterosacral ligaments bilaterally and proximally near the insertion to the uterus. Thanks for any help.

  2. #2
    I believe that this is also sometimes referred to as a "LUNA". I havent seen one of these in quite a while but if I remember correctly I had to use an unlisted procedure code.

    I am very interested in seeing what others are doing for this procedure as well.

  3. #3
    Laparoscopic Uterine Nerve Ablation

    Coding Clinic for HCPCS, Third Quarter 2006 Page: 3

    Question 3:

    What is the appropriate code assignment(s) for a laparoscopic uterine nerve ablation (LUNA) procedure?


    Currently, there is no CPT code that specifically describes a LUNA procedure. Therefore, it would be appropriate to report code 58578, Unlisted laparoscopy procedure, uterus.

    Dr.Mohd Ali Hadi CPC, CPC-H
    Mohd Ali Hadi- CPC-H

  4. Default
    Thank You for your help.

  5. #5
    the unlisted code is correct to use for a luna procedure.

  6. Default Luna
    What do you base pricing on for the LUNA procedure?

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