58558 and 57505

I am trying to figure out the best way to bill the codes to get both codes reimbursed!

I am not sure what modifier would be the best to use?!?!

Any help would be much appreciated!


Thank you and God bless!

re: 58558 and 57505

Its been awhile since I have coded OB-GYN but I found the below...hope this helps.

Q: When coding a Hysteroscopy with a fractional D&C, would the endocervical curettage be coded separately, 57505, in addition to the Hysteroscopy with D&C code, 58558? Or would the 58558 code cover the endocervical curettage already?

A: Referring to the code descriptions, CPT® code 58558 describes a surgical hysteroscopy with sampling (biopsy) of endometrium and/or polypectomy, with or without D&C. CPT® code 57505 describes an endocervical curretage (not done as part of dilation and curretage). CPT® code 58558, by virtue of its description, includes a dilation and curretage. Accordingly, you are generally precluded from coding 58558 with 57505 because the CPT® description of 57505 specifically states "not done as part of dilation and curretage." It may be conceivable but not very likely that an endocervical curretage (separate from a D&C) would be performed at the very same session as a surgical hysteroscopy with biopsy of endometrium and/or polypectomy since all the procedures described by code 58558 have a tendency to be performed together.

Glenn Krauss, RHIA, CCS, CCS-P