AAPC - Back to school
Results 1 to 4 of 4

Thread: Embedded portion of an IUD - to scope or not to scope.

  1. #1
    Join Date
    Apr 2007
    Monmouth, NJ & Dover, DE

    Default Embedded portion of an IUD - to scope or not to scope.

    AAPC: Back to School
    58301 or 58562

    The physican used a hysterscope and then a small hysteroscopic grasper to remove the remaining portion of the IUD.

    I find I am over thinking this! 58301 does not state the technique. So I am leaning towards the 58562 because of the hysteroscopy. Any thoughts??

  2. #2


    ACOG and CPT have stated that if you must use a hysteroscopy to remove it falls under 58562.

    CPT Assistant Sept 2007: "Question: What is the appropriate CPT code to report for the REMOVAL of an embedded intrauterine device (IUD) using a hysteroscope, curette, and forceps?

    Answer: The appropriate code to report is 58562, Hysteroscopy, surgical; with REMOVAL of IMPACTED foreign body.

    posted taken from codecorrect

  3. #3
    Join Date
    Apr 2007
    Monmouth, NJ & Dover, DE


    THANK YOU so much!!!!

  4. #4

    Default IUD is rotated- not impacted

    What if the IUD is NOT impacted? We have one that the MD removed via Hysteroscope and says
    "The IUD was noted to be transverse with the strings at the top of the
    fundus. A grasper was introduced through the hysteroscope and the
    strings were grasped and the IUD was easily removed."

    so it was just rotated- not impacted. Is is appropriate to use the impacted code if it isn't so?

    Do you use an unlisted hysteroscopy code?

    MD also did a Leep Conization during the same OP. But NOT laparoscopically.

    Rachell Lindley, CPC
    Multispecialty Clinic Coding
    Internal Medicine
    General Surgery
    Family Medicine

Similar Threads

  1. Embedded IUD
    By ahagan@thewomenspavilion.com in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 12-08-2014, 08:59 AM
  2. scope
    By lmoorek in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-19-2014, 04:25 PM
  3. Knee Scope
    By LStana in forum Orthopaedics
    Replies: 0
    Last Post: 10-14-2013, 02:08 PM
  4. hardware removal w/ portion still embedded
    By paula f3 in forum Outpatient Facilities
    Replies: 5
    Last Post: 08-20-2009, 02:43 PM
  5. E/M after a scope
    By rachell1976 in forum Gastroenterology
    Replies: 2
    Last Post: 03-03-2009, 09:31 AM

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.