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what is the cpt code for oophorectomy

by Dr. Salvador Jones DDS Published 3 years ago Updated 2 years ago

CPT® Code 58940 in section: Oophorectomy, partial or total, unilateral or bilateral.

Where will orchidopexy CPT code?

The 2020 updates to Current Procedural Terminology (CPT ®) bring good news to pediatric surgeons and urologists who perform orchiopexy. The code descriptor for code 54640 has been revised in 2 important ways.

What is the CPT code for removal of a tumor?

The correct CPT code to report is CPT code 28043 (Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm). You would not report a soft tissue tumor excision with the benign skin lesion excision codes.

What is the correct CPT code for ureteropyelography?

Code 52005 Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service, represents the catheterization of the ureters and introduction of contrast material.

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. Read rest of the answer.

What is the CPT code for laparoscopic oophorectomy?

The correct codes are 58661 and 49321-51. Code 58661 describes partial or total oophorectomy and/or salpingectomy.

What is CPT code for removal of an ovary?

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.

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 difference between CPT codes 58552 and 58571?

58552 is a LAVH. Lap Assisted Vaginal Hysterectomy and the 58571 is for TLH, Total Laparoscopic Hysterectomy. You need to read the op ntoe to see what was done. If they do everything through the scope but just remove the uterus through the Vaginal then go with 58571.Aug 16, 2019

What is the ICD 10 code for salpingo-oophorectomy?

Acquired absence of ovaries, bilateral Z90. 722 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z90. 722 became effective on October 1, 2021.

What is the difference between CPT 58661 and 58670?

If the provider performed a laparoscopic salpingectomy for sterilization purposes, CPT code 58661 would be reported and not 58670. Other coding guidance resources have stated that CPT code 58661 would be reported for a disease process and CPT code 58670 would be reported for sterilization.

What means oophorectomy?

An oophorectomy (oh-of-uh-REK-tuh-me) is a surgical procedure to remove one or both of your ovaries. Your ovaries are almond-shaped organs that sit on each side of the uterus in your pelvis. Your ovaries contain eggs and produce hormones that control your menstrual cycle.Feb 11, 2022

What is the difference between CPT code 58661 and 58662?

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 ...

Is Adnexa and ovary the same?

The term “adnexa” refers to the ovaries, fallopian tubes and ligaments that secure the female reproductive organs.Nov 3, 2021

What is abdominal hysterectomy and bilateral salpingo-oophorectomy?

Hysterectomy is a surgery to remove the uterus and cervix. “Abdominal” is the surgical technique that will be used. This means the surgery will be done through an incision in your abdomen. A bilateral salpingo-oophorectomy is surgery to remove both of your ovaries and fallopian tubes.

Can you bill a cystoscopy with a hysterectomy?

It is strongly recommended to perform cystoscopy at the conclusion of any hysterectomy done for an indication that includes uterovaginal prolapse. The cystoscopy must assess for and document at a minimum the integrity of the bladder as well as patency of the ureters.Nov 15, 2016

What is the CPT code 49320?

CPT® 49320, Under Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum. The Current Procedural Terminology (CPT®) code 49320 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Procedures on the Abdomen, Peritoneum, and Omentum.

What is the code for a laparoscopic procedure?

Community Wiki. You'd code 58661 Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) for when the physician laparoscopically removes one or both ovaries and their accompanying fallopian tubes with the assistance of a fiberoptic laparoscope.

What modifier do you use for 58661?

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.

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.

What is the CPT code for exploratory laparotomy?

Moreover, how do you code exploratory laparotomy? An exploratory laparotomy, whether for trauma or a medical condition, may be reported using CPT code 49000 (exploratory laparotomy, exploratory celiotomy with or without biopsy (s) (separate procedure).

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. Similar Asks.

What is the code for oophorectomy?

I believe as long as this wasn't for an ectopic, the code you need to start with is 58940 - Oophorectomy, partial or total, unilateral or bilateral.

What is the code for ectopic pregnancy?

To code correctly, you need to know why they are doing exploration and what the findings were that led to the removal of the ovaries and tubes. 59120 is for treatment of ectopic pregnancy so unless ectopic pregnancy is the diagnosis, it is probably not the code you are looking for. Look at code 58661 - Laparoscopy, surgical; with removal of adnexal structures. Hope that helps. Good luck!

Why did the exploratory laparotomy with left salpingo-oophorectomy?

The reason for the Exploratory Laparotomy was due to fever of unkown origin and pelvic pain. Upon exploration, patient was found to have a pelvic mass (pelvic abscess) for which a left salpingo-oophorectomy was performed.

Is 58940 a laparotomy?

amjordan. Yes, it is necessary to know the diagnosis to accurately code this scenario. However, you state that a laparotomy was done, which is an open procedure and not a scope. I believe as long as this wasn't for an ectopic, the code you need to start with is 58940 - Oophorectomy, partial or total, unilateral or bilateral.

What is the CPT code for a hysterectomy?

This code specifically excludes hysterectomy codes. If you perform a laparoscopic hysterectomy, BSO, debulking, the proper CPT code would be 58575 (Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed).

What is the CPT code for a laparoscopic BSO?

For a laparoscopic BSO with staging (for a patient with prior hysterectomy, for instance), you can use 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) with a -22 modifier. That would be billed with the laparoscopic BSO CPT code 58661 with the -59 modifier for a second surgery. With any -22 modifier, you would need to have an operative note and letter requesting increased reimbursement with the rationale, in this case the extra time and effort for “debulking”.

What is CPT code 38573?

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.) was created to address situation where a Gyn Onc is asked to perform staging where another surgeon has performed the laparoscopic BSO ± hysterectomy.

What is the ICd code for appendectomy?

The operative report documentation should clearly describe the procedure and the reason for performing it. You should also append a distinct ICD code, such as C78.5, secondary malignant neoplasm of the large bowel.

What is the ICd10 code for peritoneal malignancy?

The series 58950-58952 can only be used with ICD10 codes for ovarian, tubal or primary peritoneal malignancy. 58953-58954 may be used with any diagnosis. All describe various combinations of procedures commonly performed for advanced gynecologic cancers.

When to use 49205?

49205 is not to be used in this circumstance. The procedure described is an oophorectomy and the code 58720 is the same regardless of the size of the ovary. If there is excessive work required it should be documented in the operative report and a modifier 22 may be added. The 4920X codes are used when managing masses not involving the uterus, cervix, fallopian tube or ovary.

What is 58957 code?

Those procedures are included as “debulking”. 58957 is a code that is used for resection of recurrent gynecologic cancer. If you are doing a primary debulking then you should use 58952-58954 depending on what else is done.

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