Outpatient Facility Coding Alert
Bill Separately for Paratubal Cyst
Question: The physician performed a left salpingo-oophorectomy with drainage of right paratubal cyst and lysis of adhesions. Would the aspiration of the paratubal cyst be included in the salpingo-oophorectomy (58661)?
Maryland Subscriber
Answer: No. You should report 58661 (Laparoscopy, surgical; with removal of adnexal structures [partial or total oophorectomy and/or salpingectomy]) and 49322 (Laparoscopy, surgical; with aspiration of cavity or cyst [e.g., ovarian cyst] [single or multiple]).
Remember, as per Correct Coding Initiative (CCI) edits, code 49322 is a column 2 (component) code for the more comprehensive procedure code 58661. Therefore, if you are billing for both procedures on the same claim and have documentation to back this up, you need to append a modifier such as modifier 59 (Distinct procedural services) to the column 2 code 49322 before you can report both services. This will let the payer know the ob-gyn performed the drainage of paratubal cyst on the right side, which is a separate service from the left salpingo-oophorectomy. Some payers may require you to append modifier LT (Left side) to 58661 to more clearly make your case.
Related Articles
Outpatient Facility Coding Alert
- Coding Notes:
Time Alone Is Sufficient to Select a Counseling Level of Care
Watching the clock can make all the difference. Many factors go into selecting an E/M [...] - ICD-10:
Dig Into Details - Including Laterality - to Wrap Up Foot Wound Coding
Multiple code options mean you need more specifics. You have many factors to consider when [...] - Neurology News:
Glide Through This Guide for Coding Neurolytic Destruction
Start by understanding what neurolysis is. You have a range of CPT® codes in groups 64600-64647 [...] - Reader Question:
Enter the Endosonoscope Through 43237 When Inserted Through Mouth
Question: The physician performed an endoscopic ultrasound examination (EUS) stating, “The endosonoscope was introduced through the [...] - Reader Question:
Choose 20600 or 20605 for Bursitis
Question: What is the injection administration code for a foot injection to treat bursitis? Ohio Subscriber [...] - Reader Question:
Bill Separately for Paratubal Cyst
Question: The physician performed a left salpingo-oophorectomy with drainage of right paratubal cyst and lysis of [...] - You Be the Coder:
Know the New Codes 31652, 31653, 31654
Question: How do we bill with the new code 31652? Texas Subscriber Answer: CPT® 2016 introduced three new [...]
