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Posted By Danielle Levy on 04-20-2021, 12:33:44 in Ob-Gyn
Our physician is looking to bill a 58575 for al the procedures, However there is no malignant diagnosis from path . Would that code be correct or would we bill 58571 with 38570
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Posted By Melanie Witt on 04-26-2021, 13:09:53
If you report 58575 without a malignancy diagnosis, you will undoubtedly get a denial for medical necessity. The code specifically mentions the diagnosis so would not be appropriate or correct in this case. You can report 58571, with 38570, but this does not account for the omentectomy. If there was significant additional work, you might consider adding a modifier -22 to 58571.
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