Wiki Anesthesia Crosswalk for CPT 58970

Create Wiki
A

aadair

Contributor
Messages
21
Location
Glenville, NY
Best answers
0
Our office provides anesthesia for fertility patients and provides anesthesia for patients undergoing egg retrievals. For many years we have used CPT 58970 which crosswalked only to ASA 00840 for 6 base units. This year, there are now 2 crosswalks, 00940 for 3 base units and 00840 as an alternate. I am seeking advice that the crosswalk for these egg retrievals would still be 00840. 00940 vaginal procedures including the labia, vagina and endometrium. Even though a vaginal approach is used, is my thinking correct that the retrieval goes beyond the endometrium to the ovary which is in the peritoneum and, therefore, 00840 is the correct crosswalk. Any advice would be greatly appreciated. Thank you!
 
While this is an old post, we have encountered the same question this year. What are others opinion regarding this coding situation ?
 
00840, per the 2023 ASA Crosswalk italicized note, is only used when the procedure is performed percutaneously or laparoscopically.

When this procedure is performed with a vaginal approach, use 00940.
 
Additional information has been provided. ... ".. sheathed transvaginal ultrasound probe with overlying needle biopsy guide was placed intravaginally. ... lumen needle was passed through the needle biopsy guide, through the vaginal sidewall and into the ovary under ultrasound guidance. .. follicles were aspirated completely. Does this operative note information change the codes needed for anesthesia claims ? 00940 vs 00840.
 
You must log in or register to reply here.
Top