Originally Posted by neonelena
Fellow coders!! is the NOVASURE device included in this procedure (58563) Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation...or there is a HCPC code that we can bill along with this cpt since the cost of this device is $1,220.00 and the representative for HOLOGIC is indicating the procedure is included and my boss is questioning this...need feedback please!!!...by the way, this is a BCBS patient.
Are you talking about Novasure 58563 or do you mean ESSURE 58565
? We are billing for Essure with 58565 and A4264
($1220.00)...but we are having problems getting paid for the supply. In HCPCS this code has the boxed E which does state "for which separate payment is not provided". So, I think we got nailed when sold on doing this in the office. I'm trying to convince my docs NOT to do it in the office any more.