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Ob-Gyn Coding Alert

Know the Codes for Hysteroscopy

From the Ob-Gyn Coding Alert
Extra Supplement on Endoscopic Procedures   Being familiar with the eight codes that represent hysteroscopy can ensure that your ob-gyn practice receives all the reimbursement it rightfully deserves when physicians perform this service. 58555 Hysteroscopy, diagnostic (separate procedure)
58558 Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D&C
58559 with lysis of intrauterine adhesions (any method)
58560 with division or resection of intrauterine septum (any method)
58561 with removal of leiomyomata
58562 with removal of impacted foreign body
58563 with endometrial ablation (e.g., endometrial resection, electrosurgical ablation, thermoablation)
58579 Unlisted hysteroscopy procedure, uterus. Although 58563 does not specifically include dilation and curettage (D&C), the American College of Obstetricians and Gynecologists(ACOG) coding committee has determined that because ablation consists of removing the uterine lining and a D&C scrapes off a portion of the lining, the D&C is included as part of the ablation if the ob/gyn performs both during the same session.


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