tracylc10
Guest
I am being told, very adamantly, that a laparoscopic cystectomy is coded with a 58661 by our head MD. He states that the cyst is actually part of the adnexa.
I completely disagree with this, but am being told that I am wrong. He went on to say that a cystectomy is by far more involved than a BSO.
He mentioned that a 58662-80 will not pay... and that he and the other docs have agreed that the laparoscopic cystectomy will be coded with a 58661.
I feel like this is upcoding to get the assist paid. (fraud)
Any thoughts on this? And what should I do? I'm afraid I could lose my job over this.
Addendum:
In looking at this further, the 58662 has a higher RVU. So would this be down coding?
I completely disagree with this, but am being told that I am wrong. He went on to say that a cystectomy is by far more involved than a BSO.
He mentioned that a 58662-80 will not pay... and that he and the other docs have agreed that the laparoscopic cystectomy will be coded with a 58661.
I feel like this is upcoding to get the assist paid. (fraud)
Any thoughts on this? And what should I do? I'm afraid I could lose my job over this.
Addendum:
In looking at this further, the 58662 has a higher RVU. So would this be down coding?
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