What is the CPT code 58662?
A Code 58662 (laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method) would cover the removal of the left ovarian excrescences, but does not capture the lysis of adhesions. Many payers bundle this procedure because they believe it is incidental.
What is ovarian drilling?
Ovarian Drilling is a surgical procedure done by keyhole (laparoscopic) surgery on your abdomen. It is done under general anaesthetic and takes around 30 minutes to do. 4 to 6 holes are drilled in each ovary using an electric current. The aim is to destroy the tissue that’s producing androgens (male hormones).
What is laparoscopic drilling?
Laparoscopic ovarian drilling is a surgical treatment that can trigger ovulation in women who have polycystic ovary syndrome (PCOS). Electrocautery or a laser is used to destroy parts of the ovaries. This surgery is not commonly used.
What is the CPT code for laparoscopic cystectomy?
In the case of cystectomy, the code to submit is CPT 51999 Unlisted laparoscopic procedure bladder, and the work submitted should be compared with the open cystectomy code.
Is ovarian drilling bad?
While problems from ovarian drilling are rare, some can be serious. Some of the risks are related to surgery. As with all surgical procedures, there are risks of bleeding, anesthesia, and infection. Also, laparoscopy can cause injury to the bowel, bladder, and blood vessels.
How long after ovarian drilling can you try for a baby?
because you will be followed up in the fertility clinic around three months following your operation and your management reviewed by the doctor. If there is evidence that you are ovulating, you will be asked to keep trying to conceive naturally for up to six months.
What is the difference between CPT 38570 and 38571?
For laparoscopic procedures: 38570 – Retroperitoneal lymph node sampling. i.e., sentinel lymph node(s) or isolated enlarged node(s) 38571 – Total pelvic lymphadenectomy.
Is ovarian drilling permanent?
Ovarian drilling is a one-time treatment unlike fertility medicines that have to be taken every month. Having twins or triplets is not as likely with ovarian drilling as with fertility medicines. However, the benefits of ovarian drilling are not permanent.
What is the CPT code for ovarian drilling?
The cpt code 58970 is a typically only a IVF code and that is where the infertility denial is coming from. You will need to send the operative note and a letter from your doctor stating why the ovarian drilling and the chromptubation was done. (by the way this will lead to future infertility for this pt). That will hopefully get your claim paid.
Is the Chromopertubation code 58350 or 58970?
It was not for infertility and the ins. company is saying it was. It was coded 58350 for the chromotubation and 58970 for the ovarian drilling. Is this right? How would you code it? Thanks! In response to your question, the only thing I can tell you is that the codes are not bundled together (58350,58970).
What does the CPT code 58970 stand for?
The cpt code 58970 is a typically only a IVF code and that is where the infertility denial is coming from. You will need to send the operative note and a letter from your doctor stating why the ovarian drilling and the chromptubation was done. (by the way this will lead to future infertility for this pt).
What’s the code for aspiration and drainage of an ovarian cyst?
It doesn’t matter how the surgeon drains the ovarian cyst. And aspiration and drainage are the same thing. So for laparascopic aspiration or drainage of ovarian cyst, the code is 49322.
