CPT^® 58565, Under Laparoscopic/Hysteroscopic Procedures on the Corpus Uteri

The Current Procedural Terminology (CPT^®) code 58565 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic/Hysteroscopic Procedures on the Corpus Uteri.

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Summary

In this procedure, the provider performs a sterilization procedure to prevent pregnancy by putting coils into both the fallopian tubes where they meet the uterus. The coil implants cause scar tissue to develop, eventually blocking the fallopian tube and preventing pregnancy. The provider uses a hysteroscope to perform this procedure.

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GYN surgery question

Myo-sure is 58558 and like mentioned above D&C is included you will only code this. May also use tool or be called Tru-clear. 58563 is Minerva, Novasure (tool name) ablation 58565 is Essure... [ Read More ]

Assistant to surgeon or co-sugeon

I would call this 2 different surgeries - not co-surgeons. The general surgeon was not even present during the hysteroscopy work. And your ob/gyn can't bill for additional work to check or correct a... [ Read More ]

Surgical center

If the place of service is a free-standing, Article 28 surgery center that will be billing the facility portion, I'm not sure why you appended modifier 26. I don't even think -26 for professional com... [ Read More ]

Surgical center

We have primary care, Urgent care and a GYN (OB not included). Our GYN has started going to the surgery center to do procedures and they are paying pretty low in my opinion. Can someone please advise ... [ Read More ]

Novasure along with Essure

I believe a 58565 and 58563-51.... [ Read More ]

Diagnostic Laparoscopy with Total Vaginal Hysterectomy vs Lap, surgical, w vag hyst

NCCI database does not have every instance of incorrect billing possible as they add things as they see trends. Here is what NCCI has to say: [QUOTE]If a laparoscopy is performed as a “scout” pr... [ Read More ]

ESSURE modifer - We are having claims a4264 claims denied essure modifier

We are having claims denied for lack of modifier on our ESSURE claims. We use 58565 and A4264, and one denial specified that the A4264 needs a modifier. We have tried mod 50 but that was denied. Th... [ Read More ]

Modifier 33 with Essure

[b]Modifier 33[/b] This is something new, I believe effective under the affordable care act this is now considered preventative. Here is the copy paste from essure website AFFoRDAbLE CARE ACT (ACA) A... [ Read More ]

Essure converted to laparoscopic btl

[b]Essure Start/STop[/b] Situation: a patient came in for sterilization for Essure CPT 58565. During the visit, the doctor was unsuccessful procedure due to inability to visualize fallopian tube Ost... [ Read More ]

Essure converted to laparoscopic btl

HI, I have a case in which a patient was to have an Essure procedure done. They got pretty far with the hysteroscopic procedure, but had difficulty placing the implants and accessing one of the ovari... [ Read More ]

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