Surgery/Female Genital System (March 2009)

March 2009 page 11b Surgery: Female Genital System, 58340, 58345, 76831, 74740 (Q&A) Question: What is the appropriate code to report a hysterosalpingogram performed under ultrasound rather than fluoroscopy? For the catheterization component, a catheter is inserted into the uterus and injection is performed. A second catheter is then lodged in the tubal ostium for injection of contrast directly into the fallopian tube. The catheter is advanced no further. Is this code 58340 or 58345? CPT code 58340 seems understated since a catheter must be maneuvered to the tubal os, but code 58345 seems overstated since the fallopian...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews a coding question in the female genital system surgery section and compares reporting approaches for catheterization and radiologic imaging services when ultrasound is used in place of fluoroscopy. It is aimed at coding professionals who work with gynecology, infertility, and diagnostic imaging-related procedural claims.

Why This Topic Matters

It helps readers understand how a CPT Assistant answer addresses a specific procedural scenario involving hysterosalpingography-related services and the related imaging component, which is important for accurate specialty coding and claim reporting.

Article Sections

  1. March 2009 page 11b

    A Q&A item focused on a hysterosalpingography-related coding scenario in the female genital system section. The discussion centers on catheterization and imaging modalities used in the procedure.

What You Will Learn

  • How the article frames a coding question involving hysterosalpingography-related services
  • What broad CPT topics are addressed for catheterization and imaging in this scenario
  • How the article situates the discussion within infertility and female genital system procedures
  • How the Q&A format presents guidance from CPT Assistant

Who Should Read This

  • Medical coders
  • Coding auditors
  • OB-GYN billing staff
  • Infertility practice administrators
  • Revenue cycle professionals

Codes Discussed


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