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Endo Ablation w/ D&C

  1. #1
    Location
    NJ Monmouth Ocean
    Posts
    8
    Default Endo Ablation w/ D&C
    Medical Coding Books
    Although it's not mentioned in the text, does the Ablation code 58353 include a D&C (58120)? If not, can they be coded seperately , and would a modifier be required? Thanks a lot

  2. #2
    Default
    can you post the op report

  3. #3
    Location
    NJ Monmouth Ocean
    Posts
    8
    Default
    I am unable to post the op report. It clearly states that a D&C was done prior to ablation. Several surgeons perform D&C prior to the ablation. It has been questioned by our Billing Org. as to whether it is part of the ablation.
    thanks!

  4. #4
    Location
    Albany, New York
    Posts
    456
    Smile
    This scenario equates to taking a biopsy of a lesion, then subsequently fulgurating that same lesion. In that case, only the fulguration is coded.
    In your scenario, only the endometrial ablation should be coded.

    Karen Maloney, CPC
    Data Quality Specialist

  5. Default
    If there's nothing in the op note about a lesion or fulguration,and there is no part of the CPT description that says it includes a pre-op D&C, why would it be included? Sorry, but I'm new to out patient Gyn coding

  6. Default Ablation W/d & C
    Quote Originally Posted by rsrizzo View Post
    Although it's not mentioned in the text, does the Ablation code 58353 include a D&C (58120)? If not, can they be coded seperately , and would a modifier be required? Thanks a lot
    WHAT TYPE OF ABLATION ARE THEY DOING ? ARE YOU CODING THE
    CORRECT ABLATION ? TYPICALLY THE D & C IS INCLUDED. ESP. IF YOU
    CHECK CCI EDITS, IT WILL TELL YOU THE D&C IS NOT ALLOWED
    SEPARATELY.

  7. Default
    CCI edits bundle 58120 with 58353, it is included.

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