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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.
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.
Fulguration of endometrosis i have found code 58660 for laparscopic fulguration of (endometriosis) adhesions defined by ingenix endcoder pro as : The physician performs a laparoscopic surgical cutting/releasing (lysis) of scar tissue (adhesions) surrounding the ovaries and/or fallopian tubes with the assistance of a fiberoptic laparoscope.
Encounter for surgical aftercare following surgery on the digestive system. Z48.815 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM Z48.815 became effective on October 1, 2018.
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.
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.
To fulgurate the fallopian tubes, the physician inserts an electric cautery tool or a laser through a third incision adjacent to the fallopian tubes.
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.
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.
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.
Such procedures are not reported separately when performed with other procedures and services in an anatomically-related area (e.g., same skin incision, same orifice, or same surgical approach). It is appropriate to report a code identified as a separate procedure if performed alone, however.