|September 2006 · Vol. 18, No. 9
You must justify D&C with fibroid resectionMelanie
RN, CPC-OGS, MA
Independent coding and documentation consultant; former program manager, Department of Coding and Nomenclature, American College of Obstetricians and Gynecologists
Q 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?
A 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).