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58956, can you use benign diagnosis

Desiree Posted Tue 20th of October, 2015 16:39:23 PM

At the time, my surgeon had every indication that this patient had malignancy. Only upon pathology did we know it was a benign tumor. Again, the same work was done but all pre-workup led surgeon to believe it was malignancy. Can we use the benign diagnosis code, or should we bill the unlisted 58999 and compare to 58956?

SuperCoder Answered Wed 21st of October, 2015 11:19:53 AM

Physician perforemd bilateral salpingo-oophorectomy with total omentectomy, total abdominal hysterectomy for malignancy then 58956 only be coded even if after the procedure pathology report says it is a benign lesion. You can append the diagnosis code for benign lesion only on the basis of pathology report.

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