Ob-Gyn Coding Alert
Reader Question:
LUNA
Published on Tue May 01, 2001
Question: My physician did a laparoscopy with excision of endometriosis and a laparoscopic uterosacral nerve ablation (LUNA) procedure. How do we code a LUNA procedure?
Georgia Subscriber
Answer: The LUNA is best coded by adding modifier -22 (unusual procedural services) to the primary procedure. But keep in mind that this procedure will never have a separate procedure code, because it is considered investigational and does not cure pelvic pain in the long run, so many payers will not reimburse for it at all.
Answers to You Be the Coder and Reader Questions provided by Melanie Witt, RN, CPC, MA, an ob/gyn coding expert and independent coding educator based in Fredericksburg, Va.
Other Articles in this issue of
Ob-Gyn Coding Alert
- Code Correctly for Endometrial Cancer by Knowing What Is Included and When to Unbundle
Although a limited number of codes exist to diagnose and bill for endometrial cancer surgeries, [...] - Coding for Signs and Symptoms to Get Claims Paid and Boost Reimbursement
"In the world of ob/gyn care, a distinct diagnosis may be hard to pin down, [...] - You Be the Coder:
Laceration Repair
Question: My physician delivered a baby in the early morning, but the mother had a [...] - Reader Question:
Global Package
Question: At a recent medical seminar, the speaker suggested that proper billing for ob patients [...] - Reader Question:
Surgical Tray
Question: Can I use A4550 (surgical trays) with 57454 (colposcopy [vaginoscopy]; with biopsy[s] of the [...] - Reader Question:
Pre-eclampsia
Question: We had a mild pre-eclampsic woman admitted for observation in the hospital three days [...] - Reader Question:
Amnio Reduction
Question: How do I code for an amnio reduction procedure?
Oregon Subscriber
Answer: If the [...] - Reader Question:
LUNA
Question: My physician did a laparoscopy with excision of endometriosis and a laparoscopic uterosacral nerve [...]
View All
