CPT code 58662 is for a surgical laparoscopy involving the removal or destruction of lesions on the ovary, pelvic organs, or peritoneal surface.
CPT code 58662 is used to describe a laparoscopic surgical procedure that involves the fulguration (destruction using electric current) or excision (removal) of lesions located on the ovary, pelvic viscera, or peritoneal surface. This code is applicable when the surgeon uses any method to address these lesions, which could be related to conditions such as endometriosis or ovarian cysts. The procedure is minimally invasive, performed through small incisions with the aid of a camera, allowing for precise treatment while minimizing recovery time for the patient.
For CPT code 58662, the following modifiers may be applicable depending on the specific circumstances of the procedure:
1. Modifier 22 - Increased Procedural Services: Use this modifier if the work required to perform the procedure is substantially greater than typically required. Documentation must support the substantial additional work and the reason for it.
2. Modifier 51 - Multiple Procedures: This modifier is used when multiple procedures are performed during the same surgical session. It indicates that the procedure is one of several performed.
3. Modifier 59 - Distinct Procedural Service: Apply this modifier to indicate that a procedure or service was distinct or independent from other services performed on the same day. This is often used to bypass National Correct Coding Initiative (NCCI) edits.
4. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: This modifier is used when the patient returns to the operating room for a related procedure during the postoperative period of the initial surgery.
5. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Use this modifier when a procedure is performed by the same physician during the postoperative period of another procedure, but the procedure is unrelated to the original surgery.
6. Modifier LT - Left Side: This modifier is used to specify that the procedure was performed on the left side of the body.
7. Modifier RT - Right Side: This modifier is used to specify that the procedure was performed on the right side of the body.
8. Modifier 62 - Two Surgeons: If two surgeons are required to perform the procedure, this modifier indicates that each surgeon is performing a distinct part of the procedure.
9. Modifier 66 - Surgical Team: Use this modifier when a team of surgeons is required to perform the procedure due to its complexity.
Each modifier should be used in accordance with payer policies and supported by appropriate documentation in the patient's medical record.
CPT code 58662 is reimbursed by Medicare, but the reimbursement is subject to specific conditions and guidelines outlined in the Medicare Physician Fee Schedule (MPFS). The MPFS provides a comprehensive list of fees that Medicare uses to reimburse physicians and other healthcare providers for services rendered. However, the actual reimbursement for CPT code 58662 can vary based on geographic location and other factors, as determined by the local Medicare Administrative Contractor (MAC). Each MAC has the authority to interpret national policies and establish local coverage determinations, which can influence whether and how a particular service is reimbursed. Therefore, it is essential for healthcare providers to consult with their respective MAC to understand the specific reimbursement criteria and rates applicable to CPT code 58662 in their region.
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