What does CPT code 58558 mean?

58558. Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C. 58559. Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method)

What is the CPT code 58555?

58555 Hysteroscopy, diagnostic (separate procedure) What code is reported for a surgical hysteroscopy? 58558 Hysteroscopy, surgical; with sampling (biopsy) of. endometrium and/or polypectomy, with or without D&C.

Does CPT 58558 include D&C?

First, the code 58120 (D&C) is included in the code 58558 (hysteroscopy, surgical; with sampling [biopsy] of endometrium and/or polypectomy, with or without D&C) and would likely be denied by the payer as a bundled service.

Can 58558 and 57500 be billed together?

Thank you for advice. 57500 is not bundled into 58558.

What is the difference between 58558 and 58563?

58558 & 58563 are CCI edits: Code 58558 is a column 2 code for 58563, These codes cannot be billed together in any circumstances. Code 58558 is bundled into code 58563 Code 58558 cannot be billed with 58563. You would bill for 58563 only.

Can CPT code 58561 and 58558 be billed together?

No. can’t bill together.

Can CPT codes 58558 and 58561 be billed together?

What is the CPT code for hysteroscopy dilation and curettage?

Second, you have an all inclusive code that includes hysteroscopy with a dilation and curettage (D&C): 58558 (Hysteroscopy, surgical; with sampling [biopsy] of endometrium and/or polypectomy, with or without D&C).

Does 58563 include D&C?

Now look at the NovaSure with endometrial ablation procedure (58563, Hysteroscopy, surgical; with endometrial ablation [e.g., endometrial resection, electrosurgical ablation, thermoablation]). You cannot bill the D&C in addition.

Is NovaSure covered by insurance?

What is the cost of the NovaSure® procedure? Treatment for heavy periods is covered by most insurance plans, so the cost is usually the amount of your copay. As with any medical procedure, we always recommended calling your insurance company to have them explain your coverage.

What is the difference between 58558 and 58561?

58558: (Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D&C) is included when performed with 58561: (Laparoscopic/Hysteroscopic Procedures on the Corpus Uteri).

How do you bill for NovaSure?

The correct CPT for the Novasure Ablation is 58353 (this is not a “hysteroscopic” procedure). My CCI edits indicate that 58558 (Hystero w/ D&C) cannot be billed with 58353 (even if an appropriate modifier is present).

How do you bill for Novasure?

Can modifier CS and CR be used together?

CMS is repurposing the CS modifier for some COVID care. At present such care includes COVID testing and the encounter with a healthcare professional that led to the testing….COVID Coding: Modifiers CR and CS and New ICD-10CM, HCPCS and CPT Codes.

Modifier	Descriptor
CR	Catastrophe/Disaster related

Can 58561 and 58120 be billed together?

A Yes. Code 58120 (Dilation and curettage, diagnostic and/or therapeutic [nonobstetrical]) is not bundled with code 58561 under the National Correct Coding Initiative (NCCI).

Which type of endometrial ablation is best?

Conclusions Bipolar radio frequency and microwave ablative devices are more effective than thermal balloon and free fluid ablation in the treatment of heavy menstrual bleeding with second generation endometrial ablation devices.

Does NovaSure cause weight gain?

Endometrial ablation does not affect a patient’s weight.

Does 58561 include D&C?

Code 58120 (Dilation and curettage, diagnostic and/or therapeutic [nonobstetrical]) is not bundled with code 58561 under the National Correct Coding Initiative (NCCI).

Should CPT 58555 and 58120 be reported separately?

CPT provides a single code 58558 that describes a combination of the procedures. Therefore you should not report them separately. An auditor would likely view billing 58555 and 58120 separately as abuse and an attempt to unbundle the services to maximize revenues Revel says.

What is the difference between a 58558 and a 58563?

A 58558 is a surgical hysteroscopy “with or without D&C” & is worth 9.13 RVUs (at least for my geographical area, it is). The 58563 is a surgical hysteroscopy with endometrial ablation and is worth 9.37 RVUs (when performed at a non-office setting).

What does the modifier-59 to 58555 mean?

Appending modifier -59 to 58555 indicates to the carrier that it is a distinct separate procedure she adds.

Does 58558 require a polypectomy?

It doesn’t have to involve polypectomy too to assign for 58558. So as for my openion, it correctly fits into 58558 because it covers Hysteroscopy.