tlm5506
Networker
Hi everyone.
I apologize if this is a question that has been answered previously, but I am new to OB/GYN billing.
The physicians I bill for all state in their op notes when doing hysteroscopies that they remove the scope before doing any other procedure, such as a D&C and/or endometrial ablation. After the procedure is finished, they re-insert the scope. I am confused as far as billing for this. Do I use the hysteroscopy codes (58558-58563) even though they are not utilizing the scope during the procedure, or do I code for D&C (58120) and/or endometrial ablation (58353) and then use code 58555 with a modifier? I know that code 58353 specifically states without hysteroscopic guidance.
Also, sometimes the physicians are doing LEEP procedures along with a hysteroscopy. Again, do I use code 57461 or 57522? They are not utilizing the scope during the procedure. They only insert it before and after the procedure is finished.
Any help will be much appreciated!
I apologize if this is a question that has been answered previously, but I am new to OB/GYN billing.
The physicians I bill for all state in their op notes when doing hysteroscopies that they remove the scope before doing any other procedure, such as a D&C and/or endometrial ablation. After the procedure is finished, they re-insert the scope. I am confused as far as billing for this. Do I use the hysteroscopy codes (58558-58563) even though they are not utilizing the scope during the procedure, or do I code for D&C (58120) and/or endometrial ablation (58353) and then use code 58555 with a modifier? I know that code 58353 specifically states without hysteroscopic guidance.
Also, sometimes the physicians are doing LEEP procedures along with a hysteroscopy. Again, do I use code 57461 or 57522? They are not utilizing the scope during the procedure. They only insert it before and after the procedure is finished.
Any help will be much appreciated!