How To Use CPT Code 58579

CPT 58579 describes a hysteroscopy procedure on the uterus that does not have a specific code in the female genital system. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 58579?

CPT 58579 can be used to report hysteroscopy procedures on the uterus that do not have a specific code in the female genital system. This code is used when the provider performs a hysteroscopy procedure that is not represented by any of the standard and active CPT codes available.

2. Official Description

The official description of CPT code 58579 is: ‘Unlisted hysteroscopy procedure, uterus.’

3. Procedure

1. The provider performs a hysteroscopy procedure on the uterus using a hysteroscope, which is a thin, lighted, flexible tube inserted through the vagina to view the inside of the uterus.
2. The hysteroscope has channels that allow fluid to be introduced into the uterus to distend it and instruments to be used for the procedure.
3. The provider may use the hysteroscope to perform various procedures, such as removing polyps or fibroids, performing endometrial ablation, or evaluating the uterine cavity.
4. The procedure may involve the use of new or uncommon technology.

4. Qualifying circumstances

CPT 58579 is used when there is no specific code available to describe the hysteroscopy procedure performed on the uterus. It is important to note that this code should not be used if there is another code that accurately describes the service using a hysteroscopic approach.

5. When to use CPT code 58579

CPT code 58579 should be used when the provider performs a hysteroscopy procedure on the uterus that does not have a specific code in the female genital system. It is important to ensure that there is no other code available that accurately describes the service using a hysteroscopic approach before reporting CPT 58579.

6. Documentation requirements

To support a claim for CPT 58579, the provider must document the following information:

• A detailed description of the hysteroscopy procedure performed
• The reason for choosing the unlisted code instead of a defined, active code
• Comparison to similar codes to justify the claim amount
• Operative notes or other relevant documentation to strengthen the claim and avoid a possible denial

7. Billing guidelines

When billing for CPT 58579, it is important to follow these guidelines:

• Choose the unlisted procedure code only when there is no specific code available to accurately describe the hysteroscopy procedure performed on the uterus
• Submit a cover letter explaining the reason for choosing the unlisted code and include similar codes for comparison
• Include operative notes or other relevant documentation to support the claim and avoid a possible denial

8. Historical information

CPT 58579 was added to the Current Procedural Terminology system on January 1, 2000. There have been no updates to the code since its addition.

9. Examples

1. A provider performs a hysteroscopy procedure on the uterus using a new technology that does not have a specific code in the female genital system.
2. A hysteroscopy procedure is performed on the uterus to remove a polyp, but there is no specific code available to accurately describe the procedure.
3. A provider performs a hysteroscopy procedure on the uterus to evaluate the uterine cavity, but there is no specific code available for this particular approach.
4. A hysteroscopy procedure is performed on the uterus using an uncommon technique that does not have a specific code in the female genital system.
5. A provider performs a hysteroscopy procedure on the uterus using a new technology that is not represented by any of the standard and active CPT codes available.
6. A hysteroscopy procedure is performed on the uterus to perform endometrial ablation, but there is no specific code available for this particular procedure.
7. A provider performs a hysteroscopy procedure on the uterus to remove fibroids, but there is no specific code available to accurately describe the procedure.
8. A hysteroscopy procedure is performed on the uterus using a hysteroscope to evaluate the uterine cavity, but there is no specific code available for this particular approach.
9. A provider performs a hysteroscopy procedure on the uterus using a new technology that is not represented by any of the standard and active CPT codes available.
10. A hysteroscopy procedure is performed on the uterus to remove a polyp, but there is no specific code available to accurately describe the procedure.