Gynecology Procedures - PyroCMS

1 Gynecology Procedures2020 Coding and Reimbursement GuideHysteroscopy reimbursement varies by geographical location and the individual rules of the payer. karl storz provides this coding and payment guide for information purposes only. karl storz does not guarantee or warrant that the use of this information will result in payment or coverage. Actual codes used are at the sole discretion of the treating physicians and facility. You should consult the individual payers to determine the current reimbursement profiles and their rules for capturing additional costs associated with performing a procedure. 2020 Gynecology Procedures Global and Physician Professional PaymentThe national average 2020 Medicare rates to physicians shown are based on the 2020 conversion factor of $ Medicare payment for a specific procedure and specific geographical location should be available in the Medicare Physician Fee Schedule file accessible through the CMS website. Payment rates listed may be subject to change without notice.

2 CPT/ HCPCSD escriptionRVUN ational Average Medicare RateOffice (Global)Facility (Professional)Office (Global) Facility (Professional)58340 Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or $ $ 58353 Endometrial ablation, thermal, without hysteroscopic $1, $ 58555 Hysteroscopy, diagnostic (separate procedure) $ $ 58558 Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & $1, $ 58559 Hysteroscopy, surgical with lysis of intrauterine adhesions (any method) $ $ 58560 Hysteroscopy, surgical with division or resection of intrauterine septum (any method) $ $ 58561 Hysteroscopy; surgical; with removal of $ $ 58562 Hysteroscopy, surgical with removal of impacted foreign $ $ 58563 Hysteroscopy; surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation) $2, $ 58565 Hysteroscopy, surgical with bilateral fallopian tube cannulation to induce occlusion by placement of permanent $1, $ 58579 Unlisted hysteroscopy procedure, Procedure Codes58300 Insertion of intrauterine device (IUD) $ $ 58301 Removal of intrauterine device (IUD) $ $ Ultrasound Procedure Codes74740 Hysterosalpingography, radiological supervision and $ $ 76830 Ultrasound; $ $ 76831 Saline infusion sonohysterography (SIS), including color flow Doppler, when $ $ 2020 Gynecology Procedures Facility PaymentThe national average 2020 Medicare rates to physicians shown are based on the 2020 conversion factor of $ Medicare payment for a specific procedure and specific geographical location should be available in the Medicare Physician Fee Schedule file accessible through the CMS website.

3 Payment rates listed may be subject to change without notice. CPT/ HCPCSD escriptionSite of ServiceNational Average Medicare Rate58340 Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingographyHospitalno info availableASCno info available58353 Endometrial ablation, thermal, without hysteroscopic guidanceHospital$4, $1, 58555 Hysteroscopy, diagnostic (separate procedure)Hospital$2, $1, , surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & CHospital$2, $1, , surgical with lysis of intrauterine adhesions (any method)Hospital$4, $1, , surgical with division or resection of intrauterine septum (any method)Hospital$4, $1, ; surgical; with removal of leiomyomataHospital$4, $1, , surgical with removal of impacted foreign bodyHospital$2, $1, ; surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)Hospital$4, $1, , surgical with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implantsHospital$4, $1, hysteroscopy procedure, uterusHospital$ Procedure Codes58300 Insertion of intrauterine device (IUD)HospitalN/AASCN/A58301 Removal of intrauterine device (IUD)Hospital$ ASC$ Ultrasound Procedure Codes74740 Hysterosalpingography, radiological supervision and interpretationHospital$ ASCpackaged76830 Ultrasound; transvaginalHospital$ ASC$ 76831 Saline infusion sonohysterography (SIS), including color flow Doppler, when performedHospital$ ASC$ 97121017 GYN 1 us 01/2020/MFL-E-USKARL storz SE & Co.

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