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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.
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