Question: Can we bill 58545 and 57500 together if the surgeon took out a cervical polyp when performing a laparoscopic myomectomy? Code 57500 is a separate procedure, but I see no National Correct Coding Initiative (NCCI) edit between the two CPT® codes.
Georgia Subscriber
Answer: You can bill both 58545 (Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas) and 57500 (Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure)), but be sure to add a modifier 59 (Distinct procedural code) to 57500. The payer will decide if the procedure is incidental or separately payable.
Important: Make sure you link the correct ICD-10-CM code to the polyp removal and that the documentation discusses the procedure in detail.
Suzanne Burmeister, BA, MPhil, Medical Writer and Editor
