Azeneth Posted Wed 06th of February, 2019 18:36:18 PM
My doctor started doing laparoscopic bilateral tubal ligation with "kroener technique". He is removing the tubes through the laparoscopy but does not use any electrical cautery. Is this still CPT code 58670?
SuperCoder Answered Thu 07th of February, 2019 11:17:16 AM
Thanks for your question.
The Kroener technique refer to fimbriectomy as described by Kroener that consists of ligation of the distal ampulla of the tube with two permanent sutures and then division and removal of the infundibulum of the tube.
When ob-gyn uses a laparoscope, you will report 58670 (Laparoscopy, surgical; with fulguration of oviducts [with or without transection]). You'll use 58670 for a diathermied tube. The term "fulguration" means that tissue was destroyed by a highfrequency electric current. The physician may elect to use an electric cautery tool or a laser to accomplish this.
Since in this scenario Kroener technique is used and no specific code is available for this technique than the code 58679 (Unlisted laparoscopy procedure, oviduct, ovary) may be used in comparison to code 58670.