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Cindy Posted 4 month(s) ago
Op note: A weighted speculum was placed into the vagina and surprisingly the endocervical os was dilated and I could see the endocervical mass and extracted this in its entirety. I then performed a fractional D&C ad did an endocervical curettage next. Then, I sounded the uterus and dilated the endocervical canal with Hegar dilators to accept the MyoSure hysteroscope. Inside the uterine cavity, everything appeared normal. The hysteroscope was removed, and then a sharp curettage was performed until a uterine cry was heard. Can you tell me what the proper CPT codes I would bill. Thanks
SuperCoder Posted 4 month(s) ago

Greetings from SuperCoder!


As per provided documentation, we can say that “when the provider places a hysteroscope during the surgical procedure, even if the actual D&C is performed without using the hysteroscope, report the more extensive procedure code 58558 (Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C).”


If your documentation says something different, we would like you to send more information from the medical record.


Please feel free to write if you have any question.



Posted by Cindy, 4 month(s). There are 2 posts. The latest reply is from SuperCoder.

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