How To Use CPT Code 58679

CPT 58679 describes a laparoscopic procedure on the oviduct or ovary that does not have a specific code in the female genital system. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 58679?

CPT 58679 can be used to report laparoscopic procedures on the oviduct or ovary that do not have a specific code in the female genital system. This code is used when the provider performs a laparoscopic procedure on the oviduct or ovary that is not represented by any of the standard and active CPT codes available.

2. Official Description

The official description of CPT code 58679 is: ‘Unlisted laparoscopy procedure, oviduct, ovary.’ This code should be used when there is no other code that describes the laparoscopic procedure performed on the oviduct or ovary using a laparoscopic approach.

3. Procedure

1. The provider performs a laparoscopic procedure on the oviduct or ovary that is not represented by any of the standard and active CPT codes available.
2. The procedure involves using a fiberoptic instrument inserted through a small incision in the abdominal wall to visually examine the interior of the peritoneal cavity.
3. Trocars may be inserted to allow for the addition of surgical tools.
4. The provider uses the laparoscopic approach to inspect and diagnose a condition or to perform surgery for a problem.
5. The procedure may involve new or uncommon technology.

4. Qualifying circumstances

CPT 58679 is used when there is no other specific code available to describe the laparoscopic procedure performed on the oviduct or ovary. It is important to note that this code should not be used if there is another code that accurately describes the service using a laparoscopic approach.

5. When to use CPT code 58679

CPT code 58679 should be used when the provider performs a laparoscopic procedure on the oviduct or ovary that does not have a specific code in the female genital system. It should only be used when there is no other code available that accurately describes the service using a laparoscopic approach.

6. Documentation requirements

To support a claim for CPT code 58679, the provider should include the following documentation:

• A cover letter explaining the reason for choosing the unlisted code instead of a defined, active code
• One or more similar codes to compare the service and justify the claim amount
• Operative notes and/or other relevant documentation to strengthen the claim and avoid a possible denial

7. Billing guidelines

When billing for CPT code 58679, it is important to follow these guidelines:

• Do not choose a code that merely approximates the service provided
• Report the service using the appropriate unlisted procedure code if no specific procedure or service code exists
• Consider reporting a Category III code when available in place of an unlisted procedure code
• Include a cover letter explaining the reason for choosing the unlisted code and comparing it to similar codes
• Submit operative notes and/or other relevant documentation to strengthen the claim and avoid a possible denial

8. Historical information

CPT code 58679 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 laparoscopic procedure on the oviduct to remove an ectopic pregnancy.
2. A provider performs a laparoscopic procedure on the ovary to remove a benign cyst.
3. A provider performs a laparoscopic procedure on the oviduct to treat infertility.
4. A provider performs a laparoscopic procedure on the ovary to diagnose and stage ovarian cancer.
5. A provider performs a laparoscopic procedure on the oviduct to remove a hydrosalpinx.
6. A provider performs a laparoscopic procedure on the ovary to perform an ovarian drilling procedure for polycystic ovary syndrome.
7. A provider performs a laparoscopic procedure on the oviduct to perform a tubal ligation.
8. A provider performs a laparoscopic procedure on the ovary to perform an ovarian cystectomy.
9. A provider performs a laparoscopic procedure on the oviduct to perform a salpingostomy for an ectopic pregnancy.
10. A provider performs a laparoscopic procedure on the ovary to perform an oophorectomy for ovarian cancer.