Question: My physician did a laparoscopy with excision of endometriosis and a laparoscopic uterosacral nerve ablation (LUNA) procedure. How should we code a LUNA procedure? Georgia Subscriber Answer: You should report the LUNA by adding modifier -22 (Unusual procedural services) to the primary procedure. Keep in mind that this procedure will probably never have a separate CPT code because payers generally consider it investigational and it does not cure pelvic pain in the long run. Consequently, many payers will not reimburse for it at all.
Extra Supplement on Endoscopic Procedures