Advanced Search

Ob-Gyn Coding Alert

READER QUESTIONS:

Hysteroscope Removal Doesn't Matter During the Same Session

Published on Tue Mar 21, 2006

Question: The ob-gyn performed a hysteroscopy with dilation and curettage (D&C) and then removed a 4-cm cervical polyp without the help of a hysteroscope. How should I code the cervical polyp removal?


Virginia Subscriber
Answer: You can cover the entire procedure under one code: 58558 (Hysteroscopy, surgical; with sampling [biopsy] of endometrium and/or polypectomy, with or without D&C).

The fact that the ob-gyn removed the hysteroscope before removing the polyp doesn't matter because the entire procedure occurred during the same surgical session. The answers for Reader Questions and You Be the Coder were provided  by Melanie Witt, RN, CPC-OGS, MA, an ob-gyn coding expert based in Guadalupita, N.M.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Ob-Gyn Coding Alert

View All