How should a hysteroscopy followed by a polypectomy and a D&C (not performed through the scope) be reported? The physician dilates the internal cervical os and a hysteroscope is inserted in the endometrial cavity. An examination through the scope is performed. After the scope is removed, multiple polypectomies are performed, as well as gentle curettage of the cavity walls. Should both codes 58558 , Hysteroscopy surgical; with sampling (biopsy) of endometrium and/or polypectomy with or without D&C, and 58120 , Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical), be reported? Please advise on the correct coding. ...
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Article Overview
This article explains a coding question involving hysteroscopy, polypectomy, and dilation and curettage when the additional treatment is performed after the scope is removed. It is intended for coders, billers, and clinicians seeking guidance on how to report the procedure sequence in a way that aligns with CPT reporting conventions. The discussion centers on procedure grouping, reporting choices, and whether multiple codes should be billed together in this scenario.
Why This Topic Matters
Accurate reporting of combined gynecologic procedures affects claim integrity, avoids duplicate billing, and supports consistent CPT coding practice for endometrial and uterine procedures.
What You Will Learn
- How the article frames a hysteroscopy followed by additional uterine treatment
- What general CPT reporting issue is raised by the procedure sequence
- Why the article matters for coding combined gynecologic procedures
- How code selection is discussed in relation to bundled procedural reporting
Who Should Read This
- Medical coders
- Billing staff
- OB/GYN practices
- Revenue cycle professionals
- Physicians documenting gynecologic procedures
Codes Discussed
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