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Posted By Danielle Levy on 11-20-2019, 08:44:04 in Ob-Gyn
Melanie,
I am pretty sure I am aware of the answer but I just need clarification . Our physician performs a bilateral salpingectomy @ the same time he performs a C-section . He wants us to bill 59510 and 58700. I have never billed it that way I have billed 59510 with 58611 due to almost all insurance companies deny it for CPT & Icd-10 code mismatch . Please advise the correct way . thanks in advance
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Posted By Melanie Witt on 12-01-2019, 12:37:17
There is only one correct way 59510 and 58611. CPT cannot be any clearer on this issue. Also ACOG published this information also: Code 58700 (Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)) should never be used to report a sterilization procedure of any sort. This code was valued to include pathological changes of the fallopian tubes that cause complications such as blocked tubes or adhesions. I am not sure why you would get an ICD10/CPT mismatch on 58611 if you are using a Dx of sterilization as this is the only purpose of this code. Granted, the reimbursement is less, but that is because you are being paid for the intraoperative portion only (no pre or post op care attached to this code). If you are getting denials on 58611, APPEAL, APPEAL, APPEAL!
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