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While Current Procedural Terminology or CPT codes don’t have a “value” attached to them, they indicate certain medical procedures or services and occasionally provide a corresponding monetary value for billing and reimbursement needs.
The code 58662 refers to the laparoscopy with fulguration (destroying tissue using an electric current) of ovarian cysts.
It is advised to speak with a medical professional or coding specialist if you require more detailed information about this operation or its possible modifications. However, the description of the code, along with major code-related details, are provided below.
What is the description for CPT code 58662?
A combination surgical technique designated by the CPT code 58662 involves using a laparoscope to fulgurate (use electrical energy to eliminate) ovarian cysts; it is a surgical procedure code related to gynecology. It also entails doing an operational hysteroscopy to inspect and treat the uterus and potentially utilizing a catheter to unblock blocked fallopian tubes. This code is used to document and bill these particular procedures appropriately.
Specific documentation requirements for reporting CPT code 58662
CPT code 58662 documentation requirements may differ by healthcare facility, insurance company, and coding restrictions. However, some typical documentation items for reporting this code include:
- There must be a strong reason to undergo the procedure, such as an ovarian cyst or cysts and the accompanying symptoms.
- The actions taken during the laparoscopy, such as using fulguration to treat the ovarian cyst(s), should be documented.
- Describe any operational hysteroscopy and, if necessary, fallopian tube catheterization that was done.
- Include any observations made throughout the procedure, such as the number and location of ovarian cysts and any unusual uterine structures or adhesions.
- Separate records of any additional interventions or concurrent procedures that were carried out.
Complications associated with CPT code 58662
Complications associated with CPT code 58662 billing are typically related to coding and insurance reimbursement rather than medical complications.
- Incorrect coding can result in claim denials or delays in reimbursement.
- Inadequate documentation of medical necessity can lead to claim denials.
- Only complete or consistent documentation can result in claim rejection or reimbursement challenges.
- Coverage limitations or exclusions in insurance policies can affect reimbursement.
- Billing and reimbursement disputes may arise if the insurance provider questions the billed amount or procedure necessity.
Is CPT code 58662 used for both partial and total hysterectomies?
Yes, CPT code 58662 is used for both partial and total hysterectomies. A partial hysterectomy removes the uterus, whereas a total hysterectomy removes the uterus and cervix. This is the primary distinction between the two surgeries.
Does CPT Code 58662 need a modifier?
The exact conditions and payer criteria determine whether a modifier should be used with CPT code 58662. In general, add modifier -22 (rare technique) to reflect the extra complexity if the process requires more work than what is generally expected for code 58662, such as substantial lysis of adhesions.
However, you must review the payer’s policy to determine if a modifier is needed.
It’s important to note that the procedure’s details and modifications depend on the patient, surgeon, and other factors. Thus, it is recommended that healthcare professionals consult the relevant coding guidelines and payer policies to ensure accurate coding and billing practices.