tmerickson
Guest
HI All, I need some help and support from all you smart minded people about the Novasure ablation cpt code:
My office says use 58563-hysteroscopic guided ablation
I say 58353-ablation without hysteroscope is the correct code
Here is my stance on it. They perform the Novasure ablation in office as follows: Do diagnostic hysteroscope, remove scope, insert Novasure device, ablate, remove device, reinsert hysteroscope and check if ablation looks good.
CPT clearly states that 58563 is "ablation of inner lining of uterus with the assistanc of a fiberoptic hysteroscope." Therefore the code is 58353 because they didn't use scope at time of ablation!
Office: but we use scope before and after, so we can use 58363
Me: NOPE! All diagnostic services are included in the surgical code. Basic coding rule.
Office: the Novasure company says we can use 58563.
I am not going to even comment on that.
So, I need your opinions, resources and reference materials if you have any. Mostly just opinion because now I am doubting myself and my coding abilities. I am loosing sleep over this.
Help!
My office says use 58563-hysteroscopic guided ablation
I say 58353-ablation without hysteroscope is the correct code
Here is my stance on it. They perform the Novasure ablation in office as follows: Do diagnostic hysteroscope, remove scope, insert Novasure device, ablate, remove device, reinsert hysteroscope and check if ablation looks good.
CPT clearly states that 58563 is "ablation of inner lining of uterus with the assistanc of a fiberoptic hysteroscope." Therefore the code is 58353 because they didn't use scope at time of ablation!
Office: but we use scope before and after, so we can use 58363
Me: NOPE! All diagnostic services are included in the surgical code. Basic coding rule.
Office: the Novasure company says we can use 58563.
I am not going to even comment on that.
So, I need your opinions, resources and reference materials if you have any. Mostly just opinion because now I am doubting myself and my coding abilities. I am loosing sleep over this.
Help!