tci General Surgery Coding Alert - 2004 Issue 9

YOU BE THE EXPERT: Are Dilations and Ablations Separately Reportable?

  Question: The ob-gyn performed endometrial ablation on a patient after performing cervical dilation on her four hours earlier in the same day. How should we report this visit, and are we allowed to report the dilation separately? Michigan Subscriber Answer: The ablation code depends on the method the physician used, but the dilation can be reported regardless of that method.If the ob-gyn used a hysteroscope to accomplish the ablation, you should: report 58563 (Hysteroscopy, surgical; with endometrial ablation [e.g., endometrial resection, electrosurgical ablation, thermoablation]) for the ablation. attach modifier -59 (Distinct procedural service) to 59200 (Insertion...

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