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Posted By Lillian on 01-31-2018, 11:28:52 in Ob-Gyn
The patient was in for a removal reinsertion of an IUD. After the 1st Mirena insertion the ultrasound showed it was in her cervix. It was removed and attempted with 2nd ultrasound guidance which failed once again due to contour of the uterus. How would this be properly billed and coded?
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Posted By Melanie Witt on 02-02-2018, 16:50:17
This is one of those times when a procedure failed, but was twice as much work in the process. I would still bill 58301-52 though because in the end the procedure was not successful rather than -22 meaning it was successful and was more work.
You will not get paid for the first ultrasound to check the position of the IUD, but you should get paid for the second ultrasound guidance using 76998.
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