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Ob-Gyn Coding Alert

Reader Questions:

Tack Modifier 52 Onto 58563 In This Scenario

Published on Tue Apr 26, 2011

Question: I'm confused about what CPT® code(s) I should submit with the following claim: Dilation of the cervical canal done followed with hysteroscopy. Both ostia were seen (we did have some difficulty with visualization through that scope, but at the end both ostia were seen), and attempted to push in the Essure through the right tube. Half of the Essure went into the tube, and then we could not push it any farther. Suggestive of either tubal occlusion or spasm. We tried for a good period of time from different positions and movement of the uterus and the scope but this failed at the end. The procedure was aborted, and we decided to proceed with a laparoscopic bilateral tubal cauterization. Uterine manipulator was then put in. Anesthesia then decided to intubate the patient, and the nurse anesthetist and Dr. tried to do that. They were not successful so the procedure [...]
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