Reader Questions:
Should You Report 57500 or 58558 Cervical Polyp Removal?
Published on Wed Nov 10, 2010
Question: During an annual gynecological exam, the physician found a cervical polyp and removed it. The only polypectomy in the coding book that I see is 58558. Should I use this code, or isthere a better alternative? Answer: For this procedure, you should use 57500 (Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration [separate procedure]), which you should report whether the physician removed a lesion on the cervix (which can be a polyp) or performed a biopsy. Note: You would report 58558 (Hysteroscopy, surgical; with sampling [biopsy] of endometrium and/or polypectomy, with or without D&C) only when the ob-gyn removes a uterine polyp via the hysteroscope. Therefore this code does not fit this situation. Remember: You should add modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service) to the [...]