code approach for endometrial ablation icd 10

by Titus Roob 5 min read

58356Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed
58563Hysteroscopy, surgical; with endometrial ablation (e.g., endometrial resection, electrosurgical ablation, thermoablation)
ICD-10 Procedure
0U5B0ZZDestruction of endometrium, open approach
11 more rows

Full Answer

What to expect with endometrial ablation?

What to expect with endometrial ablation. As with any surgery, there are risks when a patient has endometrial ablation, including pelvic pain, pelvic infection, bleeding, thermal injury, and uterine perforation. In some cases, the patient’s abnormal bleeding may not improve.

What are the risks of an endometrial ablation?

Endometrial ablation generally isn't recommended for postmenopausal women or women who have:

  • Certain abnormalities of the uterus
  • Cancer of the uterus, or an increased risk of uterine cancer
  • An active pelvic infection

What are common procedures in an endometrial ablation?

What is an endometrial ablation?

  • Fluids (hydrothermal). This method uses heated fluid. It is pumped into the uterus to destroy the lining.
  • Balloon therapy. Your health care provider puts a thin tube (catheter) into the uterus. The catheter has a balloon at the end.
  • Cold (cryoablation). Your provider uses a probe with very cold temperature to freeze the lining. ...

Should I get an endometrial ablation?

Women who want to become pregnant again should not have an endometrial ablation. Those who do have the procedure should still use birth control because, while the chances of becoming pregnant are low, there is an increased risk of miscarriage or other complications if it does happen.


What is the ICD 10 code for endometrial ablation?

N99. 85 - Post endometrial ablation syndrome. ICD-10-CM.

What is the difference between 58563 and 58558?

58563 only 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.

What is the CPT code for NovaSure ablation?

The correct CPT for the Novasure Ablation is 58353 (this is not a "hysteroscopic" procedure).

What is a uterine ablation procedure?

Overview. Endometrial ablation is a procedure that surgically destroys (ablates) the lining of your uterus (endometrium). The goal of endometrial ablation is to reduce menstrual flow. In some women, menstrual flow may stop completely.

What is the CPT code for endometrial ablation?

Endometrial ablation is considered medically necessary for residual menstrual bleeding after androgen treatment in a female to male transgender person....CPT58353Endometrial ablation, thermal, without hysteroscopic guidance14 more rows

Can 58558 and 57500 be billed together?

Thank you for advice. 57500 is not bundled into 58558.

What is Novasure endometrial ablation?

NovaSure endometrial ablation is a non-hormonal, safe, and convenient 5-minute procedure that can effectively reduce bleeding or even eliminate your period entirely. ¹ It can be performed right in your doctor's office with no incisions—and many women return to normal activities the next day.

What is the CPT code 58558?

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).

What is the CPT code 58661?

Procedure Code 58661 - Endoscopic procedures fallopian tubes and/or ovaries with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy).

What is the difference between a D&C and endometrial ablation?

You may take a bath or shower the next day. For a D&C, you may have some light vaginal bleeding for several days. For an endometrial ablation, you can expect light/tan colored vaginal discharge for several weeks after the procedure. You may have some cramping for 2 to 3 days after surgery.

Which is better hysterectomy or endometrial ablation?

Laparoscopic supracervical hysterectomy is superior to endometrial ablation in terms of clinical effectiveness and has a similar proportion of complications, but takes longer to perform and is associated with a longer recovery.

How much is an endometrial ablation?

On MDsave, the cost of an Endometrial Ablation (in office) ranges from $1,450 to $2,822. Those on high deductible health plans or without insurance can save when they buy their procedure upfront through MDsave.

What is the CPT code 58558?

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).

What is the CPT code 58563?

58563. Hysteroscopy, surgical; with endometrial ablation (e.g., endometrial resection, electrosurgical ablation, thermoablation)

Can CPT codes 58558 and 58561 be billed together?

No. can't bill together.

What is the CPT code for hysteroscopy with D&C?

If a biopsy is obtained, a polyp removed or a dilatation and curettage (D&C) performed during a hysteroscopy, use 58558 Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D&C.

What is endometrial ablation?

This document addresses endometrial ablation. Ablation or destruction of the endometrium is used to treat abnormal uterine bleeding. The U.S Food and Drug Administration (FDA) has approved devices for endometrial ablation which include, but may not be limited to: laser therapy, electrical wire loop, rollerball using electric current, ...

When should endometrial ablation be performed?

Endometrial ablation, although readily available in most centers, should be considered only if other treatments have been ineffective or are contraindicated, and it should be performed only when a woman does not have plans for future childbearing and when the possibility of endometrial or uterine cancer has been reliably ruled out as the cause of the acute abnormal uterine bleeding.

Why do endometrial ablations need fluid monitoring?

Ideally, hysteroscopic methods for endometrial ablation should be performed using a fluid monitoring system to reduce the risks and complications relating to fluid overload and electrolyte imbalance.

What is the option of uterine cryoablation?

Her Option ™ Uterine Cryoablation Therapy ™ System (Cooper Surgical, Inc. Trumbull, CT): The system consists of , in part, a cryoprobe that is inserted through the cervix into the endometrial cavity. When cooled, an ice ball forms around the probe, which permanently destroys the endometrial tissue. Cryoablation is typically monitored by abdominal ultrasound.

How much surgery is required after endometrial ablation?

Later definitive surgery may be required in 6% to 20% after endometrial ablation.

Is endometrial ablation as high as hysterectomy?

Resectoscopic endometrial ablation is associated with a high degree of patient satisfaction but not as high as hysterectomy.

Is endometrial ablation necessary?

Endometrial ablation is considered not medically necessary for individuals: Who are pregnant or desire pregnancy in the future; or. With a history of endometrial cancer or pre-cancerous histology; or. With an active genital or urinary tract infection at the time of the procedure; or.

What are the side effects of endometrial ablation?

Common side effects after endometrial ablation include nausea, vomiting, and a vaginal discharge that can last from days to weeks. Complications of ablation are rare, but may include blood loss requiring a transfusion, perforation of the uterus, or unintended damage to other internal organs.

What is the goal of endometrial ablation?

The goal of endometrial ablation is to reduce menstrual flow. In some women, menstrual flow may stop completely. In some cases, endometrial ablation may be an alternative to hysterectomy. There are several techniques used to perform endometrial ablation, including.

Why is endometrial ablation considered experimental?

Aetna considers endometrial ablation experimental and investigational for all other indications (e.g., post-menopausal bleeding) because its effectiveness for other indications has not been established.

Why is photodynamic ablation considered experimental and investigational?

Aetna considers photodynamic endometrial ablation experimental and investigational because there is insufficient scientific evidence to support its effectiveness.

How does photodynamic ablation work?

Photodynamic endometrial ablation involves injecting a photosensitive chemical into the uterine cavity through a hysterosalpingography catheter. A probe inserted through the cervix uses a laser to activate the photosensitive chemical, which destroys the endometrium.

What is the name of the device that is used to treat uterine bleeding?

Bren (2001) reviewed some of the new methods of endometrial ablation. In 1997, the Food and Drug Administration (FDA) approved ThermaChoice , the first non-hysteroscopic ablation device to treat excessive uterine bleeding (menorrhagia) due to benign (non-cancerous) causes. The ThermaChoice Uterine Balloon Therapy System (Gynecare, Somerville, NJ) consists of a balloon that is inserted through the neck of the cervix and into the uterus. Through a catheter connected to a controller console, the balloon is inflated with fluid and heated to 188°F (87°C) for 8 mins to destroy the uterine lining.

What is the treatment for hysterectomy?

Pharmacotherapy and surgery are the mainstay treatments. Most commonly, hormonal and non-hormonal medications are followed by dilatation and curettage, and ultimately, in many cases, hysterectomy. Endometrial ablation techniques have evolved as an alternative to hysterectomy.

What is the procedure for a woman who has failed standard therapy?

It is considered a less invasive alternative to hysterectomy; however, as with hysterectomy , theprocedure is not recommended for women who wish to preserve their fertility.

Is endometrial ablation necessary?

Endometrial ablation, with or without hysteroscopic guidance, using an FDA-approved device may beconsideredMEDICALLY NECESSARYin women with menorrhagia who are not candidates for, or whoare unresponsive to, hormone therapy and would otherwise be considered candidates for hysterectomy.

How is endometriosis ablation performed?

Laparoscopy with ablation of endometriosis of the endometrium is performed via a percutaneous endoscopic approach. During this procedure small incisions are made and a laparoscope (visualization instrumentation) is used to reach the site of the procedure. The code for this procedure is 0U5B4ZZ, with the fifth character (4) indicating the approach.

What is the ICD-10 code for gallbladder removal?

The ICD-10-PCS code for a laparotomy with removal of the gallbladder is 0FT40ZZ, with the fifth character of the code (0) indicating that the procedure was performed via an open approach. During this procedure an incision is made through the abdominal wall (laparotomy) to remove the gallbladder.

What is the ICD-10 PCS code for a percutaneous nephrostomy?

ICD-10-PCS Draft Coding Guideline B5.4a states that procedures performed via an indwelling device are coded to approach value 3, percutaneous. Fragmentation of kidney stone performed via percutaneous nephrostomy illustrates the use of this guideline, and the approach value for this procedure is 3.

What is the character value 4 of a percutaneous endoscopic approach?

Percutaneous endoscopic approach (character value 4) is defined as entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure. The access location for this approach is the skin or mucous membrane with visualization instrumentation being used to reach the operative site.

What is the ICD-10 code for a percutaneous paracentesis for ascites?

The ICD-10-PCS code for a diagnostic percutaneous paracentesis for ascites is 0W9G3ZX, with the fifth character (3) indicating a percutaneous approach. During this procedure a small incision is made and a needle or catheter is inserted into the peritoneal cavity to obtain ascitic fluid. Another example would be a PTCA of the right coronary artery with the insertion of a stent, which codes to 02703DZ.

What is the code for cholangiopancreatography?

An endoscopic retrograde cholangiopancreatography with lithotripsy of the common bile duct (code 0FF98ZZ) is performed via a scope (visualization instrumentation) entering through the mouth (natural opening) for access to the biliary system via the duodenum. Therefore, the approach value is 8.

What is the code for a D&C performed with a hysteroscope?

In contrast, a D&C performed with the use of a hysteroscope would be coded to 0UDB8ZZ, as visualization instrumentation (hysteroscope) was used to reach the site of the procedure.