Ob-Gyn Coding Alert

Reader Questions:

Should You Report 57500 or 58558 Cervical Polyp Removal?

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 [...]
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 Revenue Cycle Insider
  • 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

Other Articles in this issue of

Ob-Gyn Coding Alert

View All