March 2007 page 9c
Coding Communication:Surgery: Female Genital System
Question
What CPT code is used for presacral
sympathectomy when no uterine suspension is
being performed?
AMA Comment
If the procedure is performed
laparoscopically, it is appropriate to report code
58578, Unlisted laparoscopy procedure, uterus.
If this procedure was performed at laparatomy,
code 58410, Uterine suspension, with or without
shortening of round ligaments, with or without shortening
of sacrouterine ligaments; (separate procedure),
should be reported with modifier 52, Reduced
services, appended. Under certain circumstances
a service or procedure is partially reduced or
eliminated at the physician's election. Under
these circumstances...
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