AMA CPT® Assistant - 2010 Issue 5 (May)

Surgery: Female Genital System (Q&A) (May 2010)

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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