Tag Archives: 58558

Fibroid Coding Got You Frustrated? 5 Myth Busters Fix Your Claims

Posted on 20. May, 2010 by .

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Find out what your fibroid diagnosis options are for both ICD-9 and ICD-10.

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,…

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Pick the Right ICD-9, ICD-10 Code for Postmenopausal Abnormalities

Posted on 26. Jan, 2010 by .

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Do N95.0 and N95.2 look foreign? Get your ob-gyn ICD-10 equivalents now.

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 …

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Choose Between Polyp and Fibroid Codes

Posted on 12. Jan, 2009 by .

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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.

Pick the brains of a panel of ob-gyn coding and billing experts in Las Vegas.

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