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58671 & 58720

  1. #1
    Default 58671 & 58720
    Medical Coding Books
    Ok, I have one that you seasoned OB/GYN coders can probably answer with your eyes closed but I need your help.

    Patient had her tubes tied but then the surgeon found a cyst on the rt ovary. It was drained and the cyst sac was taken out but the piece had a concerning appearance so they took the whole ovary and tube (salpingo-oopherectomy).

    Codes 58671 & 58720 bundle. So how should this be coded?

    Suggestions have been made as follows:
    This was billed and of course they denied 58671 as included.



    Any help would be appreciated.


  2. Default
    First of all was it a laparoscopic procedure from the beginning to the end?
    Or was it an open procedure/
    Or was it started as laparoscopically and ended as an open procedure with SO?
    I have a doubt in this.

    The code 58720 is an open procedure.
    Could you please feed with the actual procedure modality?

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