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Ob-Gyn Coding Alert

3 Details Narrow Down Your Tubal Ligation Coding Options

Published on Mon Jan 25, 2010

Match CPT codes to terms like diathermied, minilap, Pomeroy, and Essure. When a patient no longer wishes to conceive babies and requests a tubal ligation, home in on your coding option(s) by focusing on technique, transaction method, and delivery involvement. Problem: For tubal ligation coding, you've got multiple coding options: a set of codes for procedures performed vaginally or via an open approach, a set of codes for laparoscopic procedures, and a code for Essure tubal ligations. Review 2 Codes When MD Uses Laparoscope If your ob-gyn uses a laparoscope, you will report either 58670 (Laparoscopy, surgical; with fulguration of oviducts [with or without transection]) or 58671 (... with occlusion of oviducts by device [e.g., band, clip, or Falope ring]) if a device occludes the tube, says Dori L. VanFossen, CPC, insurance and billing coordinator at Shenandoah Women's HealthCare in Harrisonburg, Va. Codes 58670 and 58671 differ based on technique [...]
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