If a physician removes the ovary on 1 side, but removes an ovarian cyst on the other, and if the payer agrees with this interpretation of the code, you might be able to bill both 58661 and 58662 (which covers both removal and aspiration of the ovarian cyst), placing the modifiers -RT (right side) and -LT (left side) as
Can CPT code 58662 and 58661 be billed together?
Code 58660 is a column 2 code for 58662, These codes cannot be billed together in any circumstances. Code 58660 is bundled into code 58662 Code 58660 cannot be billed with 58662. Both 58662 and 58350 are reported together. Also Know, does CPT code 58661 need a modifier?
Why am I billing for a procedure 49322 twice?
I think you are billing for an incorrect procedure 49322. Per the CPT® and the Coders Desk reference you are billing for two laparoscopic procedures which is double billing. 49322 is for the aspiration of an ovarian cyst single or multiple or to collect fluid for culture.
Why is the procedure 58661 performed on an adnexal lesion?
Because the intended surgery was 58661 and intraoperatively they had to increase/extent the procedure on to fulgration or excision of adnexal contents even other pelvic or pelvic peritoneal lesion fulgration /excision as for my openion
What is the code for suction dilation and curettage?
The 59812 is correct for the Suction dilation and curettage. Your claim should be billed as follows 58660 and 59812. I would be careful also in referencing the medical terminlogy terms as a cysotomy is a surgical incision onto the gallbladder or urinary bladder.
What does 58661 mean?
What is 58662 surgical?
Can 58661 fold in 58662?
Can 58662 be appended with 59?
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Does CPT 58661 require a modifier?
There is a CPT Assistant article from Jan. 2002 that stated code 58661 was a unilateral procedure, so modifier -50 should be appended when the procedure is performed bilaterally.Nov 16, 2010
Can CPT code 58660 and 58662 be billed together?
However, if the adhesions were extensive and the extra time the physician spent in removing them is well documented, you can either bill the lysis separately using code 58660-59-51 (to indicate it was a distinct, multiple procedure) or you can add modifier -22 (unusual procedure) to code 58662 to indicate extensive ...
What does CPT code 58662 mean?
CPT® 58662, Under Laparoscopic Procedures on the Oviduct/Ovary. The Current Procedural Terminology (CPT®) code 58662 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Procedures on the Oviduct/Ovary.
Does CPT 58662 include biopsy?
Report 49321 — laparoscopy, surgical; with biopsy — for the peritoneal biopsy and, since it is the lesser service, add the -51 modifier....LAPAROSCOPIC SURGERY CPT CODES 49320, 58661.CPT CodeCPT DescriptionICD -9 Procedure58662with fulguration or excision of lesions of the ovary, pelvic viscera or peritoneal surface by any method652557 more rows
What does CPT code 58661 mean?
DEFINITIONS: Procedure Code 58661 - Endoscopic procedures fallopian tubes and/or ovaries with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy).
What is the multiple surgery modifier?
Modifier 51 Multiple Procedures indicates that multiple procedures were performed at the same session. It applies to: Different procedures performed at the same session. A single procedure performed multiple times at different sites. A single procedure performed multiple times at the same site.
Is 58661 a bilateral code?
Answer: Medicare considers 58661 (Laparoscopy, surgical; with removal of adnexal structures [partial or total oophorectomy and/or salpingectomy]) to be a unilateral code, but CPT®, in the same year this decision was made, came out with a CPT® Assistant article that stated 58661 is bilateral.Dec 13, 2016
What is the CPT code for peritoneal biopsy?
In 2018, the CPT code 38573 (Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy(ies), when performed.)
What is the CPT code 58558?
58558. Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C. 58559. Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method)
What is the CPT code for cystoscopy?
CPT® Code 52000 - Endoscopy-Cystoscopy, Urethroscopy, Cystourethroscopy Procedures on the Bladder - Codify by AAPC.
What is the CPT code for hysteroscopy?
58555Hysteroscopy can be used to diagnose or treat a problem. Abnormal uterine bleeding is one of the most common reasons to perform a diagnostic hysteroscopy. Report this using CPT code 58555 Hysteroscopy, diagnostic (separate procedure).Jul 5, 2010
What is the CPT code for ovarian cystectomy?
CPT® 58925, Under Excision Procedures on the Ovary The Current Procedural Terminology (CPT®) code 58925 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Ovary.
58661 vs 58662 | Medical Billing and Coding Forum - AAPC
I am being told, very adamantly, that a laparoscopic cystectomy is coded with a 58661 by our head MD.He states that the cyst is actually part of the adnexa. I completely disagree with this, but am being told that I am wrong. He went on to say that a cystectomy is by far more involved than a BSO.
Can CPT code 58661 be billed with 58662? - FindAnyAnswer.com
The Correct Coding Initiative (CCI) does not bundle these codes. So you would apply modifier 51 (Multiple procedures) to 58661. When your payer bundles 58661 and 58662 and you know the surgery is in two different places, you would tack on modifier 59 (Distinct procedural service) to the code the payer is bundling.
Billing 58662 with 58661 | Medical Billing and Coding Forum - AAPC
I am a new coder and learning a lot from different sources. I am puzzled by one scenario: it's possible to bill 58661 and 58662 together When MD excised the lesions on the Right and Left ovaries And then partially removed Right and Left ovaries?I think if he removed partial ovary then only 58661 should be billed and not both codes.
What is the CPT code 58661? - FindAnyAnswer.com
If the provider performed a laparoscopic salpingectomy for sterilization purposes, CPT code 58661 would be reported and not 58670.Report CPT code 58661, Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy), would be reported for the bilateral salpingectomy.
What is the CPT code for laparoscopic bilateral tubal ligation?
Click to see full answer. Also, is CPT code 58661 a bilateral code? Answer: Medicare considers 58661 (Laparoscopy, surgical; with removal of adnexal structures [partial or total oophorectomy and/or salpingectomy]) to be a unilateral code, but CPT ®, in the same year this decision was made, came out with a CPT ® Assistant article that stated 58661 is bilateral.
Beware of Unbundling When Reporting Hysteroscopies | Care1
From the Ob-Gyn Coding Alert . Extra Supplement on Endoscopic Procedures. Although coding for hysteroscopies when the ob-gyn performs them with other services can present any number of problems, you can avoid them by paying close attention to CPT definitions and bundling rules.. Hysteroscopy is the oldest gynecologic endoscopic procedure and one of the most frequently performed for ob-gyns ...
What does 58661 mean?
58661: Lap, surgical; with removal of ADNEXAL STRUCTURES ( partial or total oopherectomy AND or salpingectomy - meaning all structures belonging to adnexa removal ,or partial, or some total and/or some of them partial. Right?
What is 58662 surgical?
58662: Lap,surgical: with fulguration or excision of lesions of ovary (which is not removal of ovary but any other things- can be cystectomy, wedge resection, ovariotomy or simply fulguration etc), pelvic viscera or peritoneal surface by any method.
Can 58661 fold in 58662?
58661 can accept and include some or partial procedures in the 58662 but not the 58662 can fold/contain all that in 58661. you could try to append 22 or 59 on to 58661 with a document/report from Physician explaining the whole lot of procedures done. This only for discussion !
Can 58662 be appended with 59?
If the surgeon goes on with fulguration and excision of LESIONS of OTHER ORGANS cited in 58662, can also be appended all the more with-59 on to 58661. Whether can be taken as separate procedure because those anatomical structures.
What is CPT code 58661?
The Current Procedural Terminology (CPT) code 58661 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Procedures on the Oviduct/Ovary.
Can 58662 and 58660 be billed together?
Code 58660 is bundled into code 58662 Code 58660 cannot be billed with 58662. Both 58662 and 58350 are reported together.
When is modifier 22 used in a claim?
This rule will pend the claim for additional review for increase of allowance when the procedure code is billed with modifier 22 to identify unusual procedural services AND the claim is submitted with medical records.
What is the CPT code for ovarian cystectomy?
If you look up ovarian cystectomy in the index of CPT, you are referred to code 58661 for that portion of the procedure also. The code cannot be reported with the bilateral modifier, which means that although procedures were done on the right and left sides, this code includes both procedures.
Can you report Lysis of Adhesions with 58661?
Based on American College of Obstetricians and Gynecologists, it states “Services that cannot be reported with 58661 under any circumstances- Lysis of adhesions (44005, 44180, 58660 and 58740)”. Therefore, if code 58740 is submitted with code 58661 only 58661 will reimburse.
What is CPT code 58661?
CPT 58661, Under Laparoscopic Procedures on the Oviduct/Ovary. The Current Procedural Terminology (CPT) code 58661 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Procedures on the Oviduct/Ovary . Keeping this in consideration, does CPT code 58661 need a modifier? ...
What is the code for a laparoscopic procedure?
A Code 58662 (laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method) would cover the removal of the left ovarian excrescences, but does not capture the lysis of adhesions. Many payers bundle this procedure because they believe it is incidental.
What does 58661 mean?
58661: Lap, surgical; with removal of ADNEXAL STRUCTURES ( partial or total oopherectomy AND or salpingectomy - meaning all structures belonging to adnexa removal ,or partial, or some total and/or some of them partial. Right?
What is 58662 surgical?
58662: Lap,surgical: with fulguration or excision of lesions of ovary (which is not removal of ovary but any other things- can be cystectomy, wedge resection, ovariotomy or simply fulguration etc), pelvic viscera or peritoneal surface by any method.
Can 58661 fold in 58662?
58661 can accept and include some or partial procedures in the 58662 but not the 58662 can fold/contain all that in 58661. you could try to append 22 or 59 on to 58661 with a document/report from Physician explaining the whole lot of procedures done. This only for discussion !
Can 58662 be appended with 59?
If the surgeon goes on with fulguration and excision of LESIONS of OTHER ORGANS cited in 58662, can also be appended all the more with-59 on to 58661. Whether can be taken as separate procedure because those anatomical structures.