What CPT code is 58558?
Decoding Coding: Office Hysteroscopy
|58558||Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C|
|58559||with lysis of intrauterine adhesions (any method)|
|58560||with division or resection of intrauterine septum (any method)|
|58561||with removal of leiomyomata|
Does CPT 58558 include D&C?
First, the code 58120 (D&C) is included in the code 58558 (hysteroscopy, surgical; with sampling [biopsy] of endometrium and/or polypectomy, with or without D&C) and would likely be denied by the payer as a bundled service.
Does insurance cover NovaSure procedure?
What is the cost of the NovaSure® procedure? Treatment for heavy periods is covered by most insurance plans, so the cost is usually the amount of your copay. As with any medical procedure, we always recommended calling your insurance company to have them explain your coverage.
Can CPT codes 58558 and 58561 be billed together?
According to CCI these are bundled codes and may not be billed together. 58558: (Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D&C) is included when performed with 58561: (Laparoscopic/Hysteroscopic Procedures on the Corpus Uteri).
Can 58558 and 58100 be billed together?
Can 58555 be reported with code 58100 (biopsy of uterus lining) on the same day during the same session? No.
What is the CPT code for NovaSure endometrial ablation?
Now look at the NovaSure with endometrial ablation procedure (58563, Hysteroscopy, surgical; with endometrial ablation [e.g., endometrial resection, electrosurgical ablation, thermoablation]).
What is the CPT code for dilation and curettage?
The Current Procedural Terminology (CPT) code for diagnostic dilation and curettage (D&C) is 58120. CPT codes are an integral part of the billing process used by insurance companies in healthcare.
How much does a NovaSure procedure cost?
The cost of NovaSure varies by geography, insurance and other individual factors. In 2015, the average cost of an endometrial ablation procedure (without complications) was estimated to be $3,678.
What is the global period for hysteroscopy?
one preoperative day, the day of the procedure, and 90 days immediately following the day of the surgery, for a total global period of 92 days.
What is the CPT code for hysteroscopy with dilation and curettage?
Second, you have an all inclusive code that includes hysteroscopy with a dilation and curettage (D&C): 58558 (Hysteroscopy, surgical; with sampling [biopsy] of endometrium and/or polypectomy, with or without D&C).
What is the average cost of a hysteroscopy?
You can expect the cost of a hysteroscopy to range from $750-$3,500. The cost depends on the extent of the procedure. For instance, a diagnostic-only procedure is much less than one involving surgery.
What is Procedure Code 58558?
The verbiage in the next listed hysteroscopy CPT code can confuse a coder. The CPT Code 58558 for hysteroscopy includes a sampling (biopsy) of the endometrium; and/or a polypectomy, and it also states with or without a D&C (dilatation and curettage) of the uterus.
Can You Bill 58558 and 58561 together?
58558 & 58563 are CCI edits: Code 58558 is a column 2 code for 58563, These codes cannot be billed together in any circumstances. Code 58558 is bundled into code 58563 Code 58558 cannot be billed with 58563. CCI edit Rule:More extensive procedure You would bill for 58563 only.
What is CPT code 58561?
There are three main CPT codes associated with the MyoSure system – CPT 58555 for diagnostic hysteroscopy, CPT 58558 for hysteroscopic polypectomy and CPT 58561 for hysteroscopic fibroid removal. We do not have fibroids in the procedure mentioned. Click to see full answer. Simply so, what is a MyoSure procedure?
How to look up CPT codes for free?
– Do a CPT code search on the American Medical Association website. – Contact your doctor’s office and ask them to help you match CPT codes and services. – Contact your payer’s billing personnel and ask them to help you. – Remember that some codes may be bundled but can be looked up in the same way.