Billing for ovarian cyst drainage with CT guidance
Q
Which code should I report for a computed tomography (CT)-guided drainage of an ovarian cyst via a vaginal approach?
A
You actually need to list 2 codes for this procedure. For the drainage of the cyst, report 58800 (vaginal approach). To bill for the CT guidance, report code 76003 (fluoroscopic guidance for needle placement, e.g., biopsy, aspiration, injection; localization device). This code is the best option because it most closely reflects the type of guidance used. (Fluoroscopic CT guidance is rapidly becoming the procedure of choice because it provides the physician with a continuous image of the needle’s position, whereas conventional CT guidance takes 1 picture at a time.)
