February 2003 page 15a
Coding Consultation:Questions and Answers
Female Genital System/Surgery, 58140, 58146 (Q&A)
Question
Code 58140 and 58146, which describe removal of fibroid tumors of the uterus, appear
to be differentiated by total tumor weight or the number of tumors removed. How would I
report removal of four fibroid tumors weighing more than 250 gm?
AMA Comment
These codes actually reflect several criteria. They
are differentiated by the total weight (>250 gm), the number of myomas (1-4 intramural or
5 or more intramural myomas), and the surgical technique, which is based on the location
of the...
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articles:
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This premium article is a Coding Consultation Q&A from CPT Assistant focused on female genital system surgery. It helps coders and other revenue cycle professionals understand the general issues discussed when reporting uterine fibroid removal procedures, including how the article frames the factors considered in CPT guidance. The piece is useful for anyone reviewing historical CPT advice on gynecologic surgery coding and wanting to determine whether the full discussion is relevant to a specific case.
Why This Topic Matters
Historical CPT guidance can affect how older claims, audits, education, and reference work are interpreted. This article summarizes an AMA coding consultation that clarifies the scope of the discussion for uterine myoma/fibroid removal procedures without requiring the reader to infer relevance from the title alone.
Article Sections
Coding Consultation: Questions and Answers
An AMA coding consultation in a question-and-answer format addressing a gynecologic surgery coding topic. The section focuses on how the article frames the procedure categories and the factors discussed in the guidance.
What You Will Learn
The general topic addressed in the coding consultation
How the article organizes the discussion of female genital system surgery coding
What type of CPT guidance is being clarified in the Q&A format
Whether the article is relevant to historical coding reference or audit review
Who Should Read This
Medical coders
Coding educators
Auditors
Revenue cycle staff
Physician practice managers
Codes Discussed
CPT: 58140
CPT: 58146
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