Results 1 to 3 of 3

Looking for Assistant with Multiple Procedures

  1. #1
    Location
    Manhattan, New York
    Posts
    10
    Default Looking for Assistant with Multiple Procedures
    Medical Coding Books
    Our provider performed the following multiple procedures on patient:

    D&C hysteroscopy, hysterscopic submucous myomectomy and cervical myomectomy, diagnostic laparoscopy, mini laparotomy and abdominal myomectomy.

    Any suggestions would be greatly appreciated. "Thank You" in advance for any and all responses.

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by paynemedbill View Post
    Our provider performed the following multiple procedures on patient:

    D&C hysteroscopy, hysterscopic submucous myomectomy and cervical myomectomy, diagnostic laparoscopy, mini laparotomy and abdominal myomectomy.

    Any suggestions would be greatly appreciated. "Thank You" in advance for any and all responses.
    One of the best ways to get down to which codes to use in a case of multiple procedures, is to write down all the codes for the procedures done, and then start looking at what is bundled and what order things need to be listed in.

    Start with the Hysteroscopy codes:
    58558 Hysteroscopy D&C, 58561 Hysterscopy w/myomectomy - when you check CCI edits these codes are clear and can both be billed.

    Next the Laparascopy, Laparotomy and Abdominal myomectomy:
    49320 Dx Laparascopy, (no code for mini laparotomy), 58140 or 58146 Abdominal myomectomy (depending on number or size) - check the CCI edits and find you can bill these together but you will need a modifier 59 on the 49320 and also the dx code that shows the procedure was coverted from laparoscopy to open.

    Check the CCI edits for all the codes:
    58558, 58561, 49320, and 58140 and you will see that you will also have to add a modifier to 58561 to show that myomectomies were done both hysteroscopically and abdominally.

    Then you put them in order of RVU on your claim so it would look like this:

    58140
    58561-59-51
    58558-51
    49320-59-51

    make sure you attach to appropriate dx codes to the procedures. Remember that you still may not get reimbursed on all the codes, some payers may have different bundling edits.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. #3
    Location
    Manhattan, New York
    Posts
    10
    Default
    Thank you.

Similar Threads

  1. Coding Multiple Procedures on Multiple Digits
    By lora.a.cherry@gmail.com in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 01-02-2014, 08:43 PM
  2. Coding Multiple Procedures on Multiple Digits
    By lora.a.cherry@gmail.com in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-01-2014, 12:34 PM
  3. Multiple Procedures!! HELP!!!!
    By brandyleigh23 in forum Gastroenterology
    Replies: 1
    Last Post: 07-13-2012, 11:37 AM
  4. Multiple Procedures - Here are the procedures
    By jreavis in forum Cardiovascular Thoracic
    Replies: 2
    Last Post: 04-11-2011, 08:03 AM
  5. Multiple procedures
    By AC0504 in forum General Surgery
    Replies: 6
    Last Post: 02-17-2009, 09:03 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?

Login

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.