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Cindy Posted 1 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 1 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.

 

Thanks.

Posted by Cindy, 1 month(s). There are 2 posts. The latest reply is from SuperCoder.

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