Wiki Diagnostic Laparoscopy & Endometrial Biopsy

[coderguy1939]

Prior to doing a diagnostic laparoscopy (49320) the doctor dilated the patient's cervix and did an endometrial biopsy. 58120 specifically does not include dilation of the cervix. Anyone have a suggestion for coding this procedure? Thanks.

 

[sadamcik]

58120 vs 58100

58120 is a dialation and curretage so it DOES include dilating the cervix. I think you are referring to 58100 which is an endometrial biopsy without cervical dilation. I spent 20+ yrs in OB/GYN and we always coded the 58100 for endometrial biopsy. Code 57800 is for dilation alone, however CCI edits considers it a component of the 58100 code. I would just bill the 58100 and not try for a separate dilation code.

 

[coderguy1939]

Yes, you're right, I meant 58100. The question is can you use that code if the doctor dilates the cervix when the description of the procedure states without dilation?