Wiki Need cpt for Hysterscopy without removal of IUD

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kzcoder

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I need help on the following:

Provider did a hysteroscopy for an IUD that had translocate as shown on films. However, he could not find the IUD despite consultation with radiology and another OBGYN helping. A curettage was performed. After the unsuccessful procedure the patient had a KUB and it was discovered the IUD was now by the sigmoid colon and the patient was scheduled for future surgery.

How do I code the procedure? I don't believe 58562 is correct because there was not a removal of a foreign body. One coder thought 48562-53; however, the 53 modifier is not appropriate. Maybe a 52?

A biopsy was not performed so I don't think I can use 58558. 58555 is for diagnostic and that does not seem to fit.

Thanks for your help!
 
I would use 58558. The doctor did perform a Hysteroscope with curettage. I wouldn't use a modifier because the procedure was completed it just didn't provide the desired result (finding the IUD).
 
hswift said:
I would use 58558. The doctor did perform a Hysteroscope with curettage. I wouldn't use a modifier because the procedure was completed it just didn't provide the desired result (finding the IUD).
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Agree with this and the CPT Assistant article on what is included in this code, including the definition of a biopsy, will support the use of 58558. It appears in the April 1997 edition. I can't copy it to this post due to copyrights, but yes, use 58558.
 
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