ob/gyn billing

How should i bill for doctor services for a patient who went into the E.R. to r/o ectopic pregnancy, during the emergency room visit and treatments they decided to do a laporoscopy w/ dilation and curretage. After the d&c a diagnostic laporoscopy was done to see if there was evidence of an ectopic preg. Doctor identified that there was an ectopic. At this point Doctor decided to perform a laporotomy with salpingoectomy. Can ANYONE HELP?!? to shorten it basically the first procedure was a D&C...second procedure Dx Laporoscopy...third Laporotomy..and fourth salpingoectomy. I just don't know what codes to use to make it as simple as possible for the insurance to process the claim.

re: ob/gyn billing

Salipingectomy w/laparoscopic for etopic pregnancy should be billed as 59151, as long as a hysterectomy was not done or Oophorectomy. you would not bill for each procedure seperately. read the description in your CPT® book:) or under the index for Salpingectomy, in my book it is page 714, hope that helps...

re: ob/gyn billing

There is also a book called Procedures, A coders desk reference, it gives a better description of what the code means and whats inclusive of the CPT® code, better than the CPT® book does, its a coders bible!!:)