58720 Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) 58940 Oophorectomy, partial or total, unilateral or bilateral; ICD-10 Codes Covered if Selection Criteria are Met . C56.1-C56.9 Malignant neoplasm of ovary C57.00-C57.02 Malignant neoplasm of fallopian tube
Provider's operative report indicates "bilateral partial salpingectomy" which would be billed with 58661 and the diagnosis was sterilization. Can this code be used or does 58670 cover this as the distal portion of the tubes were removed.
Prophylactic bilateral salpingo-oophorectomy is surgery that removes both ovaries. The goal of this surgery is to reduce the risk of ovarian, fallopian tube, peritoneal, and breast cancers, particularly for those women who are at high risk.
If the only purpose of the procedure was to do a salpingectomy (mearning a removal of the fallopian tube) then yes, the code will be 58661. This can be a procedure performed with a major surgery such as a hysterectomy (removal of the uterus and cervix) which can give you a different code.
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The best approach is to report code 58953 (Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking) plus the appropriate colectomy code (e.g., 44145) or other more appropriate code.
Listen to pronunciation. (by-LA-teh-rul sal-PIN-goh-oh-oh-foh-REK-toh-mee) Surgery to remove both ovaries and both fallopian tubes.
58661Report CPT code 58661, Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy), would be reported for the bilateral salpingectomy.
CPT® Code 58954 in section: Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking.
ICD-10-PCS will be the official system of assigning codes to procedures associated with hospital utilization in the United States. ICD-10-PCS codes will support data collection, payment and electronic health records. ICD-10-PCS is a medical classification coding system for procedural codes.
Definition. A laparoscopic salpingectomy is surgery to remove one or both fallopian tubes. This type of surgery uses small incisions. Eggs will no longer be able to travel through the removed tubes. Future pregnancy may be more difficult.
What is a laparoscopic salpingo-oophorectomy? A salpingo-oophorectomy is the removal of one (unilateral) or both (bilateral) of your ovaries and fallopian tubes. Laparoscopic surgery is a minimally invasive surgery technique that only uses a few small incisions on your lower abdomen.
1. A total abdominal hysterectomy (TAH), is the removal of your uterus (womb) and the cervix through an abdominal incision. 2. Bilateral salpingo-oophorectomy (BSO), is the removal of both your fallopian tubes and ovaries.
When solely for elective sterilization, the correct code per ACOG is 58670. 58661 is reserved for patients with a disease process.
58661LAPAROSCOPIC SURGERY CPT CODES 49320, 58661CPT CodeCPT DescriptionICD -9 Procedure58661with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)654158662with fulguration or excision of lesions of the ovary, pelvic viscera or peritoneal surface by any method652556 more rows
58552 is a LAVH. Lap Assisted Vaginal Hysterectomy and the 58571 is for TLH, Total Laparoscopic Hysterectomy.
Prophylactic bilateral salpingo-oophorectomy is surgery that removes both ovaries. The goal of this surgery is to reduce the risk of ovarian, fallopian tube, peritoneal, and breast cancers, particularly for those women who are at high risk. This policy describes when prophylactic bilateral salpingo-oophorectomy may be considered medically necessary.
American College of Obstetricians and Gynecologists (ACOG). Committee on Gynecologic Practice: Committee Opinion: The Role of the Obstetrician-Gynecologist in the Early Detection of Epithelial Ovarian Cancer. No. 716, September 2017. Re-affirmed 2019 https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2017/09/the-role-of-the-obstetriciangynecologist-in-the-early-detection-of-epithelial-ovarian-cancer-in-women-at-average-risk. Accessed September, 2020.
If the only purpose of the procedure was to do a salpingectomy (mearning a removal of the fallopian tube) then yes, the code will be 58661. This can be a procedure performed with a major surgery such as a hysterectomy (removal of the uterus and cervix) which can give you a different code.
2. Feb 27, 2019. #6. while this can be extremely helpful to some you should know that information contained in Coding Clinics is copy protected and copy and paste from these publications is strictly prohibited. You may reference the issue and the type of information contained but you cannot verbatim copy and paste.