Wiki Total Laparoscopic Hysterectomy BSO & Cervical Polyp Removal

Pumpkinroll

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Hello,
I have a TLH BSO (58571) and before they started the TLH BSO they removed a cervical polyp and sent that as well (57500). Are these able to be billed together? When I enter them in select coder it says 57500 is a component of 58571 but a mod can be used.

Thank you
 
per EncoderPro, when I look up 57500:

"This separate procedure by definition is usually a component of a more complex service and is not identified separately. When performed alone or with other unrelated procedures/services it may be reported. If performed alone, list the code; if performed with other procedures/services, list the code and append modifier 59 or an X{EPSU} modifier. When 57500 is performed with another separately identifiable procedure, the highest dollar value code is listed as the primary procedure and subsequent procedures are appended with modifier 51. Local anesthesia is included in the service. However, this procedure may be performed under general anesthesia, depending on the age and/or condition of the patient."
 
Hi, the cervix is being removed with a TLH, so without knowing more that's perplexing, but even if it was a supracervical hysterectomy, the cervix is part of the uterus/organ being removed, so included in the greater procedure.
 
Hi, the cervix is being removed with a TLH, so without knowing more that's perplexing, but even if it was a supracervical hysterectomy, the cervix is part of the uterus/organ being removed, so included in the greater procedure.
Thank you. So I would not report this since the cervix is being removed.
 
When items are CCI edits that MAY be overridden with -59 or -X__, the specific clinical scenario and documentation is what determines if it is billable in this circumstance. I also will state it would be unusual to remove a cervical polyp right before you are removing the cervix. Perhaps the provider suspects the polyp is not just a polyp but rather cancer?? They might perform a cervical polypectomy and wait for pathology impression to determine whether they will be doing a TLH BSO or a more radical procedure. This is just a guess about a possible clinical situation where billing both with a modifier to override MIGHT be appropriate.
 
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