Loni Posted Fri 08th of May, 2020 17:29:47 PM
Total Vaginal Hysterectomy, Bilateral Salpingectomy with Cyst Removal. Conserving the ovaries. My questions is do we use CPT code 58262 only or is there a CPT code we can bill for the Cyst Removal? It's a adnexal cyst. Thank you!
SuperCoder Answered Mon 11th of May, 2020 06:02:42 AM
Thank you for your question.
CPT® code 58262 (Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s)) is an appropriate code for the above procedure(s) mentioned in the documentation.
In this procedure, the provider surgically removes the uterus, cervix, fallopian tubes, and ovaries using a vaginal approach, known as a vaginal hysterectomy. The uterus is normal in size, which means it weighs 250 g or less.
An adnexal cyst (fluid filled or solid) is a mass that develops near the uterus, most commonly arising from the ovaries, fallopian tubes, or connective tissues. It will not be appropriate to report the removal of adnexal cyst separately, as it will be considered integral part of the major surgical procedure, i.e. TVH.
Hope that helps!