icd 10 code for laparoscopy with fulguration of obstucted obiducts

If your ob-gyn uses a laparoscope, you will report either 58670 (Laparoscopy, surgical; with fulguration of oviducts [with or without transection]) if the tube is destroyed using electrocautery or laser or is cut in two and 58671 (... with occlusion of oviducts by device [eg, band, clip, or Falope ring]) if a device occludes the tube.

Full Answer

What is laparoscopic fulguration of oviduct?

58670 Laparoscopy, surgical; with fulguration of oviducts (with or without transection) With the assistance of a fiber optic laparoscope, the physician performs laparoscopic electrical cautery destruction of an oviduct with or without completely cutting through the fallopian tubes.

What is the ICD 10 code for laparoscopy?

If your ob-gyn uses a laparoscope, you will report either 58670 (Laparoscopy, surgical; with fulguration of oviducts [with or without transection]) if the tube is destroyed using electrocautery or laser or is cut in two and 58671 (... with occlusion of oviducts by device [eg, band, clip, or Falope ring]) if a device occludes the tube.

What is the CPT code for fallopian tube removal?

The physician ties off the fallopian tube or removes a portion of it on one or both sides. The procedure may be done through a small incision just above the pubic hairline. This procedure is done during the same hospital stay as the delivery (except for the episode of care, this code is the same as 58600).

What is the CPT code for laparoscopic oophorectomy?

A. The correct codes are 58661 and 49321-51. Code 58661 describes partial or total oophorectomy and/or salpingectomy. If you look up ovarian cystectomy in the index of CPT, you are referred to code 58661 for that portion of the procedure also.

What is the CPT code for ovarian cystectomy?

If you look up ovarian cystectomy in the index of CPT, you are referred to code 58661 for that portion of the procedure also. The code cannot be reported with the bilateral modifier, which means that although procedures were done on the right and left sides, this code includes both procedures.

When is modifier 22 used in a claim?

This rule will pend the claim for additional review for increase of allowance when the procedure code is billed with modifier 22 to identify unusual procedural services AND the claim is submitted with medical records.

Can you report Lysis of Adhesions with 58661?

Based on American College of Obstetricians and Gynecologists, it states “Services that cannot be reported with 58661 under any circumstances- Lysis of adhesions (44005, 44180, 58660 and 58740)”. Therefore, if code 58740 is submitted with code 58661 only 58661 will reimburse.

How does a physician fulgurate the fallopian tubes?

To fulgurate the fallopian tubes, the physician inserts an electric cautery tool or a laser through a third incision adjacent to the fallopian tubes.

What is 58671 laparoscopy?

58671 Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope rings) The physician may first insert an instrument through the vagina to grasp the cervix and to manipulate the uterus during surgery.

What is the third incision in a laparoscope?

A third incision typically is made adjacent to the fallopian tubes and the devices (Silastic bands, clips, or Falope rings) are applied to the tubes.

What is tubal sterilization?

Tubal sterilization can be performed by abdominal, suprapubic, transabdominal, transcervical, or vaginal approach (the approach is not coded separately, but may be a specific component of the procedure). Tubal sterilization may be performed at the time of a cesarean delivery or other intra-abdominal surgery, during the same hospitalization as ...

When is tubal sterilization performed?

Tubal sterilization may be performed at the time of a cesarean delivery or other intra-abdominal surgery, during the same hospitalization as the delivery or other intra-abdominal surgery, but on a different day, or after the hospitalization in which the delivery or other surgery occurred.

What is separate procedure?

According to the American Medical Association’s (AMA’s) guidelines, any code designated in CPT ® as a “separate procedure” is usually a component of a more complex service or an integral component of another procedure.

Is a sterilization procedure elective?

Sterilizations can be performed in the office setting or in an outpatient or inpatient hospital setting. Sterilization procedures are considered to be elective. As such, be sure you verify coverage with the patient’s insurance carrier before scheduling a procedure.