Wiki cpt code for Robotic assisted laparoscopic left oophorectomy, excision of endometriosis, cystoscopy

rockylopez

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Physician is dropping cpt 58661 for Robotic assisted laparoscopic left oophorectomy, excision of endometriosis, cystoscopy. can someone please confirm with me if this is a billable code for this . Thank you
 
58661 Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)
This covers laparoscopic left oophorectomy.

58662 Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method
This MAY also be billable for excision of endometriosis, depending on where the endometriosis was excised from. For example, if it was only on the left ovary that was removed, it would not be appropriate.

Cystoscopy is not separately billable here, assuming it was done just to check for possible injury during the laparoscopic procedure. If it was done for a distinct reason (hematuria, etc), 52000 would be billable with -59 or -X___ modifier. 99.5% of the time it is done just to check work.

Please note that 58661 and 58662 are not NCCI edits, but some carriers have internal policies to bundle them.
 
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