Ob-Gyn Coding Alert
Find Help for This Hysteroscopy Scenario
Question: The ob-gyn performs a hysteroscopic resection of a submucosal myoma with 80% of the myoma in the uterine cavity, and does a dilation and curettage (D&C) after the resection. Can we use 58561 for the myoma? Can we report 58120 for the D&C in addition?
Washington Subscriber
Answer: No, you can only bill 58561(Hysteroscopy, surgical; with removal of leiomyomata). When a hysteroscope is used at any time during a procedure, the hysteroscopic code would be billed for a D&C (58558, Hysteroscopy, surgical; with sampling [biopsy] of endometrium and/or polypectomy, with or without D&C)and not 58120 (Dilation and curettage, diagnostic and/or therapeutic [nonobstetrical]).
However, on October 1, 2014, the code 58558 became permanently bundled into code 58561 by Medicare, and you cannot use a modifier to bypass this edit.
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