Wiki Resection of ovarian endometrioma

[janlw75]

If a salpingo-oophorectomy is performed the same time as a resection of an ovarian endometrioma, would you code 49202 or 58720?

 

[preserene]

Whether the primary intended surgery would have been Endometrioma which is a deceased status or the S.O, whatever, the S.O is a mandatory surgery to avoid future complications but not incidental. Though it is separate procedure, it is a distinct procedure and merits to be reported.
Both are needed surgeries.
I would like to assign 4920x (203-205) depending upon the size of the tumor, and,
58720- 59
I hope this helps

 

[janlw75]

Thanks...you helped a bunch!