Wiki Hysteroscopy, D&C, Polypectomy and IUD Insertin

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MaureenDL123

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Good morning,

I have a question on how to bill this.
1. Old Mirena IUD removed
2. Hysteroscope was was placed in the cervix and advanced to the level of the fundus.
3. Polypoid Tissue removed and curette performed (58558).
4. Mirena IUD inserted but when strings were being cut (scissors were blunt), and IUD was pulled out of place, so decision was made to remove it and and insert a new one which was successful.

Does the scenario warrant the insertion code, 58300 to be billed twice or not, and would you also bill for the removal, 58301?
Thank you.
 
MaureenDL123 said:
4. Mirena IUD inserted but when strings were being cut (scissors were blunt), and IUD was pulled out of place, so decision was made to remove it and and insert a new one which was successful.

Does the scenario warrant the insertion code, 58300 to be billed twice or not,
Click to expand...
Why would the patient or insurance company pay for the insertion of the IUD 2xs if the reason it had to be done twice was due to a problem placing the IUD that was not related to an issue with the patient's anatomy or anything the patient was responsible for? How would you feel as the patient if you were asked to pay twice for the procedure to be performed through no fault of your own?

From an insurance perspective we would NOT pay for 2 units of 58300 when the reason for the 2nd unit is because of an issue with how the IUD was handled during the insertion process that necessitated a new IUD be placed. We would also not pay for 2 units of the IUD device itself.
 
It would be a 58558, 58300,51, 58301,99 ( 99 = 51). If the IUD was provided by the physician, then you would bill for the product, if provided by the facility, then they would bill for it. We cannot bill for the procedure twice if it was due to a physician error.
 
CBLENNIE said:
Why would the patient or insurance company pay for the insertion of the IUD 2xs if the reason it had to be done twice was due to a problem placing the IUD that was not related to an issue with the patient's anatomy or anything the patient was responsible for? How would you feel as the patient if you were asked to pay twice for the procedure to be performed through no fault of your own?

From an insurance perspective we would NOT pay for 2 units of 58300 when the reason for the 2nd unit is because of an issue with how the IUD was handled during the insertion process that necessitated a new IUD be placed. We would also not pay for 2 units of the IUD device itself.
Click to expand...
Thank you so much, makes perfect sense
 
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