Tag Archives: 58558
Posted on 20. May, 2010 by Editor.
If you’re reporting uterine fibroid removal, you need to know two things:
- Where the fibroid was located, so you can choose the diagnosis code.
- What method the obgyn used to take care of the growth.
Simplify this complicated coding scenario by busting the following four myths.You’ll know where to look in both your ICD and CPT manuals before the fibroid report lands on your desk.
Don’t Confuse Fibroids With Polyps
Myth: Fibroids and polyps are essentially the same thing.
Reality: True, fibroids and polyps are both growths, but one occurs in the endometrial lining while the other occurs in the muscle.
Polyps are small growths on the surface of the uterine wall that are easy for the ob-gyn to remove. In other words, “they are an overgrowth of the endometrial lining,” says David Glassman, DO, FACOG, medical director of Biltmore Women’s Health and Aesthetics and assistant program director at the department of obstetrics and gynecology residency at Banner Good Samaritan in Phoenix. “They’re intracavitary lesions.”
Posted on 26. Jan, 2010 by Editor.
Spare yourself denial hot flashes by taking this three-part postmenopausal abnormality scenario challenge.
Fill In These Blanks Using Your ICD-9 Book
Question 1: Your ob-gyn sees a post menopausal patient with an inflamed vagina because the tissues are thinning and shrinking. The ob-gyn notes decreased vaginal wall lubrication. This patient is experiencing vaginal soreness and itching, painful intercourse, and bleeding after intercourse. The ob-gyn diagnoses the patient with _________, and you should report this with _________.
Question 2: Your ob-gyn sees a post menopausal patient with unusual or abnormal vaginal bleeding. You should report _________.
Question 3: Because _________ occurs more frequently in postmenopausal women, your ob-gyn assesses and treats this bone disease. You should report it with _________.
How Did You Do? Click ‘read more’ to find out …
Posted on 12. Jan, 2009 by .
Challenge: An ob-gyn removed polyps and fibroids via a hysteroscope. The path diagnosis is fibroid. What is the difference between using 58561 and 58558?
Answer: If the ob-gyn removed both polyps and fibroids, bill only for the more extensive procedure, which is 58561 (Hysteroscopy, surgical; with removal of leiomyomata) — unless she also performed a dilation and curettage. If she did, you can bill both 58561 and 58558 (Hysteroscopy, surgical; with sampling [biopsy] of endometrium and/or polypectomy, with or without D&C).
Polyps are small growths on the surface of the uterine wall that are easy to remove. Fibroids are larger and usually imbedded in the uterine wall and require more work to remove, hence you get paid more when your ob-gyn removes fibroids.