May 2010 page 10
Surgery: Female Genital System (Q&A)
Question: If a surgeon performs a laparoscopy with bilateral removal of ovaries and/or fallopian tubes, should code 58661, Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy), be reported with Modifier 50, Bilateral procedure, appended? Is the laparoscopy procedure described by code 58661 considered inherently bilateral?
Answer: Code 58661 describes a bilateral procedure, which includes the excision and removal of tubes and/or ovaries, by any method. Therefore, if a laparoscopy and bilateral removal of ovaries and/or fallopian tubes are performed, it would not be appropriate...
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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 from CPT Assistant focused on laparoscopic surgery in the female genital system. It is useful for coders, auditors, and revenue cycle staff who need to understand the scope of the guidance, the procedure context, and the general reporting issues addressed in the discussion. The article centers on CPT-oriented clarification about how the procedure is characterized and what related modifier topics are addressed.
Why This Topic Matters
This type of guidance helps coding professionals interpret how a procedure is treated for reporting purposes and avoid unnecessary modifier use. It is especially relevant for practices and facilities that code gynecologic laparoscopic surgery.
Article Sections
May 2010 page 10
Publication placement and issue context for the Q&A guidance.
Surgery: Female Genital System (Q&A)
A coding question and answer focused on laparoscopic surgery in the female genital system and related reporting considerations.
What You Will Learn
What general coding issue the article addresses
How the article frames laparoscopic female genital surgery reporting
Which modifier topics are discussed in the Q&A
What kind of CPT Assistant guidance is provided in the article
Who Should Read This
Medical coders
Coding auditors
Revenue cycle professionals
Gynecology billing staff
Physician practice managers
Codes Discussed
CPT: 58661
Modifiers Discussed
CPT: 50
CPT: 52
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