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Reimbursement Advisor


You must justify D&C with fibroid resection

September 2006 · Vol. 18, No. 9

<huc>Q</huc> I performed a resection of a submucous fibroid and also did uterine curettage. I will report code 58561 (Hysteroscopy, surgical; with removal of leiomyomata) for the primary procedure, but can I also bill for the curettage?

<huc>A</huc> Yes. Code 58120 (Dilation and curettage, diagnostic and/or therapeutic [nonobstetrical]) is not bundled with code 58561 under the National Correct Coding Initiative (NCCI). But to avoid denial you must establish medical justification for doing the curettage by indicating a diagnosis other than submucous fibroid (218.0).

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Hysterotomy incision and repair: Many options, many personal preferences