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Multiple Laparoscopic Procedures


Is it appropriate to bill for medically indicated, multiple procedures when performing laparoscopies? For example, we occasionally perform fimbrioplasties or large paratubal or ovarian cyst removals (indication infertility) when lasering endometriosis (indication pelvic pain). Can we submit them with the appropriate modifiers (e.g., –51 or –59)? The sites, as well as the indications, are different. There is no requirement by CMS to bundle according to the tables. I do understand that the reimbursements are typically reduced, but that is ok for the purpose of the question.

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Coding for aspiration of hydrosalpinx and endometrioma

Surgery was performed under anesthesia for Aspiration of right hydrosalpinx fluid and right endometrioma. Which CPT code would be best to use? View the Answer
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Is it appropriate to bill for medically indicated, multiple procedures when performing laparoscopies?  View the Answer
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What code is used for a laparoscopic excision of endometriosis and an ovarian excision of endometrioma with bilateral ureterolysis is performed. View the Answer
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How can one code for hysteroscopic transcervical fallopian tube cannulation under laparoscopic guidance?  View the Answer