Appropriate code for fulguration of endometriosis?

[epitman25]

Hello, I'm trying to code a "fulguration of endometriosis", including a diagnostic laparoscopy. Does anyone have any suggestions on the CPT(s) to use?

Thanks!!

 

[racheleporterwilliams]

reply to appropriate code for fulguration of endometriosis

I come up with 58356, C2618

Hello, I'm trying to code a "fulguration of endometriosis", including a diagnostic laparoscopy. Does anyone have any suggestions on the CPT(s) to use?

Thanks!!

 

[epitman25]

I come up with 58356, C2618

Thank you so much for the response. I will try that code!
~Erica

 

[girlvo]

I would use 58661 - this includes the diagnostic lap. use the 617.x for the endometriosis.

 

[carol badger]

If via the laparoscopy then 58662, if you have Encoder Pro check this code on their software. I think it reads fulguration or excision of lesions of the ovary, pelvic visera or peritoneal surface , any method.
Carol

 

[mbort]

I think that the information you provided from is way to vague to suggest any CPT codes. However I would definetely not go with the first suggestion as that doesn't even come close to what you described.

 

[ellie2847]

Endometriosis

Hello, I'm trying to code a "fulguration of endometriosis", including a diagnostic laparoscopy. Does anyone have any suggestions on the CPT(s) to use?

Thanks!!

I believe it's 58662

 

[garmab06]

i would code 58662 if this is laparoscopically performed. Dx lap is included in this code

 

[adwood68]

58662

I agree with Ellie, Carol, and Garcia use code 58662 it will include the dx lap. ICD-9 code of 617.X.

Angie Wood, CPC

 

[bpope]

I would use 58662 with the DX 617.__ for whatever site the endometriosis is in.. 58356 is what we use for a cryoablation...Totally different..

 

[smcbroom]

Appropriate code for fulguration of endometriosis

I agree that 58662 is the proper code since it is the laparoscopic approach.

 

[trose45116]

cpt 58662 is the correct procedure code

 

[trose45116]

code 58662 is the correct code for what you are wanting

 

[KARENK1]

Fulguration of endometrosis

i have found code 58660 for laparscopic fulguration of (endometriosis) adhesions

defined by ingenix endcoder pro as :
The physician performs a laparoscopic surgical cutting/releasing (lysis) of scar tissue (adhesions) surrounding the ovaries and/or fallopian tubes with the assistance of a fiberoptic laparoscope. The physician may first insert an instrument through the vagina to grasp the cervix and manipulate the uterus during surgery. Next, the physician makes a small incision just below the umbilicus through which a fiberoptic laparoscope is inserted. A second incision is made in the abdomen with additional instruments being placed through these incisions into the abdomen or pelvis. The physician manipulates the tools so that the pelvic organs can be observed, manipulated and lysis of adhesions can be performed. The abdomen is deflated, the trocars removed, and the incisions are closed with sutures.

for non laparscopic approach i use code 57740

defined by ingenix endcoder pro as :
The physician cuts free any fibrous tissue adhering to the ovaries or tubes through a small incision just above the pubic hairline.

hope this helps!! Karen K CPC, Peoria, IL chapter

 

[jjweigel]

Thanks for that 58662 is the code i would use also!

 

[Anastasia]

Yes, 58662