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Gyn just looked through laparoscope during as requested by general surgeon

  1. Default Gyn just looked through laparoscope during as requested by general surgeon
    Medical Coding Books
    How do I bill if or if anything should be billed?

    OBGYN was called into the OR at the request of a general surgeon who was doing a hernial repair and he thought there was something that a GYN should look at through the laparoscope. She scrubbed in and took a look (he had had the scope etc. done.)

    How do I bill for this? GYN stated she did nothing but look. Diagnosis was endometriosis.

    Thank you,

  2. Default
    I hope this would work out:

    49320- laparoscopic evaluation- diagnostic ( for gynaecologistseparately0 with endometriosis diagnosis 617.x or 617.9 if site not specified by gynecologist

  3. Default
    Thank you for your response.
    However, the GYN didn't insert the laparoscope, can I still use 49320? Do I need a modifier as well, if so which modifier (62)?

  4. Default
    Hi that is a very smart question. well, what the OBGYN did amounts to diagnostic laparo, while the surgeon did the surgical procedure of tha lap. So the code itself differs.
    So, I think the Mod" -62" question does not arise. But I feel you may have to give mod -52 if the payer do not agree to the full fledged code.
    [ In my openion even if the OBGYN did not place the laparoscopy, the work of diagnostic part is all that is important here. So I feel the OBGYN merits for the full code of 49320 herself.].Let us see what some experts say about this!

  5. Default
    True Blue- Thank you for your input..

  6. #6
    Idaho Falls, Idaho
    The main question is, what did the OBGYN document?
    Tesja Erickson, CPC, CPMA COBGC, CEMC
    The Coding Surgeon
    Medical Documentation & Coding Consultant
    2012 AAPC Idaho Falls Chapter President
    2011 AAPC Idaho Falls Chapter President-Elect

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