no mod 50 on 58661 unless payer guidelines want it below is the CPT assistant on such:
yes bill once with the dx's
Fallopian tube and ovary laparoscopic removal, correct reporting
CPT Assistant, May 2010 Page: 10 Category:
Related Information
Surgery: Female Genital System
Question:
If a surgeon performs a laparoscopy with bilateral removal of ovaries and/or fallopian tubes, should code 58661, Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy), be reported with Modifier 50, Bilateral procedure,appended? Is the laparoscopy procedure described by code 58661 considered inherently bilateral?
Answer:
Code 58661 describes a bilateral procedure, which includes the excision and removal of tubes and/or ovaries, by any method. Therefore, if a laparoscopy and bilateral removal of ovaries and/or fallopian tubes are performed, it would not be appropriate or necessary to append Modifier 50 to indicate the procedure was performed bilaterally.(1) In addition, if the surgeon performs a laparoscopy with removal of an ovary and/or fallopian tube on one side, code 58661 would still be reported without modification. (2) Also, when this procedure is performed unilaterally, it is not necessary to report modifier 52, Reduced Services. The word "or" between "partial or total" within the descriptor of code 58661 indicates this already.