tci Outpatient Facility Coding Alert - 2016 Issue 3
Reader Question: Bill Separately for Paratubal Cyst
Question: The physician performed a left salpingo-oophorectomy with drainage of right paratubal cyst and lysis of adhesions. Would the aspiration of the paratubal cyst be included in the salpingo-oophorectomy (58661)? Maryland Subscriber Answer: No. You should report 58661 (Laparoscopy, surgical; with removal of adnexal structures [partial or total oophorectomy and/or salpingectomy]) and 49322 (Laparoscopy, surgical; with aspiration of cavity or cyst [e.g., ovarian cyst] [single or multiple]). Remember, as per Correct Coding Initiative (CCI) edits, code 49322 is a column 2 (component) code for the more comprehensive procedure code 58661. Therefore, if you are billing for both procedures...
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