CPT Knowledgebase - Jul 27, 2006

How should a hysteroscopy followed by a polypectomy and a D&C (not performed through the scope) be reported? The physician dilates the internal cervical os and a hysteroscope is inserted in the endometrial cavity. An examination through the scope is performed. After the scope is removed, multiple polypectomies are performed, as well as gentle curettage of the cavity walls. Should both codes 58558, Hysteroscopy surgical; with sampling (biopsy) of endometrium and/or polypectomy with or without D&C, and 58120, Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical), be reported? Please advise on the correct coding.

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