Full Answer
N83.209 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM N83.209 became effective on October 1, 2019. This is the American ICD-10-CM version of N83.209 - other international versions of ICD-10 N83.209 may differ. neoplastic ovarian cyst ( D27.-)
The procedure described is an oophorectomy and the code 58720 is the same regardless of the size of the ovary. If there is excessive work required it should be documented in the operative report and a modifier 22 may be added. The 4920X codes are used when managing masses not involving the uterus, cervix, fallopian tube or ovary.
So for laparascopic aspiration or drainage of ovarian cyst, the code is 49322. You must log in or register to reply here.
Laparoscopic unilateral oophorectomy/ Laparoscopic unilateral ovarian cyst removal. I am fairly new to coding. My physician is going to be preforming laparoscopic unilateral oophorectomy and the cyst removal. Backround on the patient atient was recently seen i ER for extreme lower abdominal pain.
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
Expert. CPT 58662 is the correct code for Laparoscopic Ovarian Cystectomy.
58954CPT® Code 58954 in section: Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking.
CPT Code: 49000, 58661.
ICD-10 code N83. 291 for Other ovarian cyst, right side is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .
So for laparascopic aspiration or drainage of ovarian cyst, the code is 49322.
722.
When solely for elective sterilization, the correct code per ACOG is 58670. 58661 is reserved for patients with a disease process.
58552 is a LAVH. Lap Assisted Vaginal Hysterectomy and the 58571 is for TLH, Total Laparoscopic Hysterectomy.
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.
A bilateral salpingo-oophorectomy is surgery to remove both of your ovaries and fallopian tubes. The hysterectomy and bilateral salpingo-oophorectomy will both be done during one procedure. This surgery will remove the uterus, cervix, ovaries, and fallopian tubes.
A unilateral salpingo-oophorectomy is the surgical removal of one ovary and one fallopian tube, both of which are located on the same side of the body and share a common blood supply (in contrast, a bilateral procedure involves the removal of both ovaries and fallopian tubes).
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. 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.
CPT code 49320 states: “Surgical laparoscopy always includes diagnostic laparoscopy. . .” Therefore the surgical laparoscopic procedure described by the column one HCPCS code G0342 (Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion) includes the diagnostic laparoscopic procedure described by the column two CPT code 49320 (Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen (s) by brushing or washing (separate procedure)). Based on the CPT Manual instruction CPT code 49320 is bundled into HCPCS code G0342.
Report 49321 — laparoscopy, surgical; with biopsy — for the peritoneal biopsy and, since it is the lesser service, add the -51 modifier. These codes are not bundled under CCI, therefore, the -51 modifier is used instead of the -59.
Procedure code 58661 is billed with modifier 22 and medical records – the claim will be pended for medical review for possible additional
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.
Anthem Central Region bundles 49322 as incidental with 58662, bundles 49332-LT as incidental with 58662-LT and bundles 49322-RT as incidental with 58662-RT Based on American College of Obstetricians and Gynecologists, it states on code 58662 and under services included intraoperative services: “Destruction or excision of lesions, any method”. Therefore, if 49322 is submitted with 58662—only 58662 reimburses, if 49322-LT is submitted with 58662-LT—only 58662-LT reimburses and if 49322-RT is submitted with 58662-RT only 58662-RT reimburses.
For example: CPT code 58660, Lysis of adhesions, is not to be reported separately when done in conjunction with CPT code 58661, Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)
ICD-10 requires you to code to the greatest degree of specificity. If you have bilateral ovarian cancer, you should use BOTH the right ovarian cancer (C56.1) and the left ovarian cancer (C56.2) codes. The unspecified code (C56.9) might be appropriate for a patient diagnosed on biopsy if it is impossible to determine a site of origin.
For a laparoscopic BSO with staging (for a patient with prior hysterectomy, for instance), you can use the CPT code 38573 (Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy (ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy (ies), when performed) with a -22 modifier. That would be billed with the laparoscopic BSO CPT code 58661 with the -59 modifier for a second surgery. With any -22 modifier, you would need to have an operative note and letter requesting increased reimbursement with the rationale, in this case the extra time and effort for “debulking”.
In 2018, the CPT code 38573 (Laparoscopy, surgical ; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy (ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy (ies), when performed.) was created to address situation where a Gyn Onc is asked to perform staging where another surgeon has performed the laparoscopic BSO ± hysterectomy.
This code specifically excludes hysterectomy codes. If you perform a laparoscopic hysterectomy, BSO, debulking, the proper CPT code would be 58575 (Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed).
The operative report documentation should clearly describe the procedure and the reason for performing it. You should also append a distinct ICD code, such as C78.5, secondary malignant neoplasm of the large bowel.
The series 58950-58952 can only be used with ICD10 codes for ovarian, tubal or primary peritoneal malignancy. 58953-58954 may be used with any diagnosis. All describe various combinations of procedures commonly performed for advanced gynecologic cancers.
Those procedures are included as “debulking”. 58957 is a code that is used for resection of recurrent gynecologic cancer. If you are doing a primary debulking then you should use 58952-58954 depending on what else is done.
0UB04ZX is a billable procedure code used to specify the performance of excision of right ovary, percutaneous endoscopic approach, diagnostic. The code is valid for the year 2021 for the submission of HIPAA-covered transactions.
The ICD-10 Procedure Coding System (ICD-10-PCS) is a catalog of procedural codes used by medical professionals for hospital inpatient healthcare settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates. These 2022 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2021 through September 30, 2022.
The procedure code 0UB04ZX is in the medical and surgical section and is part of the female reproductive system body system, classified under the excision operation. The applicable bodypart is ovary, right.