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Mirena Patient Info
If you have internet access, please visit the ESSURE informational website @ . CPT codes 58340 Catheterization and introduction of saline or contrast material for saline . procedures that include visits, lab work, medicines, or products .
http://www.communityobgyn.com/uploads/files/misc_info_packet.pdf

AMA Panel Agrees to Establish Category I CPT Code for Essure(R)
AMA Panel Agrees to Establish Category I CPT Code for Essure(R) . The original application was made for a Category III new procedure code; but in this .
http://files.shareholder.com/downloads/CPTS/0x0x116812/eaf4aead-56ad-4a62-a1ae-c18b2c52f7bb/252133.pdf

UserPost
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5:05 pm
February 15, 2005


Othello

New Member

posts -1

New CPT Code Values Provided For Essure Procedure (NASDAQ ...
Nov 4, 2004 . New CPT Code Values Provided For Essure Procedure. San Carlos, Calif. ( November 4, 2004) - Conceptus, Inc. (Nasdaq: CPTS) announced .
http://investor.conceptus.com/releasedetail.cfm?ReleaseID=252119

Essure Sterilization and Prior Authorization Procedure - Scdhhs.gov
Page 2. To bill for the Essure procedure on a CMS-1500 claim form, use CPT code 58565, which is a hysteroscopy sterilization procedure. The CPT code 58565 .
http://www.scdhhs.gov/Internet/pdf/EssureSterilizationPAProcedure.pdf

Essure®: An Important Option for
Feb 18, 2010 . In order to perform the Essure procedure,. Family PACT . Use the CPT code 58565 (with . (ben prim) section for the various codes for each .
http://www.familypact.org/Files/Provider/Newsletter/Essure_FamPACTNewsletter_Web20100216.pdf

Effective dates of service on or after Jan. 1, 2011, HCPCS code ...
Mar 1, 2011 . procedure and HCPCS code A4264 to bill for the supply. •. CPT code 58565 does not require PA. Effective dates of service on or after Jan. 1, .
http://www.medicaid.nv.gov/Downloads/provider/web_announcement_380_20110301.pdf

PROVIDER BULLETIN No 09-14
Jun 26, 2009 . The CPT code for the Essure procedure is 58565. For a unilateral procedure, add a 52 modifier to the. CPT code. The procedure is reimbursed .
http://dhhs.ne.gov/medicaid/Documents/pb0914.pdf

ESSURE PHYSICIAN CODING & REIMBURSEMENT GUIDE ...
Essure is a registered trademark of Conceptus, Inc. CC-0933 07Jan11F. ESSURE PHYSICIAN . for the procedure. MEDICARE HOSPITAL . CPT. CODE . DESCRIPTION. NON-FACILITY. RVUS (POS 11 –. OFFICE). 2011 MEDICARE .
http://essuremd.com/Portals/essuremd/PDFs/CC-0933_07Jan11F_Essure_2011_Physician_Coding_Guide.pdf

Essure - Wikipedia, the free encyclopedia
Procedure. Small, flexible inserts are placed into the fallopian tubes by a catheter passed from the vagina through the cervix and .
http://en.wikipedia.org/wiki/Essure

Family Planning Professional Payment Policy
3 HIPAA medical code sets include HCPCS, CPT Procedure and ICD-9 diagnosis codes. . of permanent implants (Essure procedure). 58600. Division of .
http://www.tuftshealthplan.com/providers/pdf/payment_policies/fam_plan.pdf

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6:05 pm
February 15, 2005


tracylyn

New Member

posts -1

Othello ~

CIGNA MEDICAL COVERAGE POLICY
CIGNA covers hysteroscopic tubal sterilization (e.g., Essure®, Adiana®) for a woman who has completed . Only a few small risks are associated with the procedure. . Covered when medically necessary: CPT®*. Codes. Description. 58565 .
http://www.cigna.com/assets/docs/health-care-professionals/coverage_positions/mm_0138_coveragepositioncriteria_hysteroscopic_tubal_sterilization.pdf

Tubal Reversal Surgery Cost and Insurance
The procedure code (CPT) for tubal anastomosis is 58750. . For the more complex reversal of Essure and Adiana sterilization, the fee is $7500. These fees are .
http://www.tubal-reversal.net/tubal_reversal_surgery_costs.htm

CMS Issues New Reimbursement Code Covering Essure Device ...
Mar 30, 2004 . HCPCS Code to be used to Pay for Essure(R) Device in Physician Office . Procedure Coding System) code for separate payment of the Essure device. . announced decision to establish a CPT code for physician payment .
http://investor.conceptus.com/releasedetail.cfm?ReleaseID=252132

NC DMA:October 2011 Medicaid Bulletin
Note: Billing CPT code 90474 for a second administration of an intranasal/oral vaccine is . Scheduling Hysterosalpingogram (HSG) After the Essure Procedure .
http://www.ncdhhs.gov/dma/bulletin/1011bulletin.html

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1:09 am
February 16, 2005


Othello

New Member

posts -1

Inpatient and Outpatient Services Billing
always be billed with the surgical CPT code. . Essure. Sterilization Procedure. • Billing guidelines effective for dates of . Bill procedure code 58565 on UB-04 .
http://provider.indianamedicaid.com/media/28805/inpatient%20and%20outpatient%20services%20billing.pdf

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8:50 am
February 16, 2005


CAMER

Member

posts 100

CS OBGY Qst.qxd:Layout 1
Established patient preventive (CPT codes 99394–99397) . . Urodynamic procedures (CPT codes 51725–51798) . . Essure sterilization (CPT code 58565) .
http://www.mgma.com/WorkArea/mgma_downloadasset.aspx?id=26828

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10:32 am
February 16, 2005


Worried_Dad

Member

posts 38

Technology Commercial Medicare Medicaid
Biliopancreatic diversion (BPD) (Scopinaro procedure) for clinically severe obesity . CPT (No specific code; the following may be appropriate for reporting: 71250 . Hysteroscopic techniques for sterilization (e.g., Essure™ Coil Sterilization) .
http://www.emblemhealth.com/pdf/MedTech_Database.pdf

Chapter 1 - General Info
Anesthesiologists (ASA) code (five-digit CPT procedure codes 00100 . Essure insertion must be billed on a CMS 1500 claim form using CPT code 58565.
http://www.azahcccs.gov/commercial/Downloads/IHS-TribalManual/IHS-Chap08IndivPractitionerSvcs.pdf

NCMGM Medicaid Meeting
When completing the consent form the description of the procedure must match the CPT code. ESSURE is not a BTL. 6. Hysterectomy statements – same .
http://www.ncmgm.org/member/track.cfm?fileID=765

cpt code for essure procedure

11:13 am
February 16, 2005


tracylyn

New Member

posts -1

Worried Dad ~

Effective CPT and ICD Coding for Family Planning Services
CD ROM. • Hand-held (Palm). 2011 CPT Codes for. Contraceptive Procedures. CPT . Code. ICD-9-CM description. • HSG for Essure or to evaluate for failed TL .
http://region8familyplanning.org/Docs/MFPTCCodingv1.pdf

Hysteroscopic Placement of Micro-inserts in the Fallopian Tubes
Tubal ligation is a surgical procedure, typically performed laparoscopi. . The Essure System involves the insertion of micro-inserts bilaterally into the . of the micro-inserts, patients will undergo a separate hystersalpinogram (CPT code 74740) .
http://www.bcidaho.com/providers/medical_policies/obgynr/mp_40113.asp

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2:34 pm
February 17, 2005


kathygy

New Member

posts -1

Essure Removal
We will remove your Essure with an outpatient procedure in less than an hour and a . There now is what's called a CPT code for Essure removal which means .
http://pregnantagain.com/tubal_reversal/EssureRemoval.php

July, 2010 > Coding & Billing
Regardless of the methods used, the CPT code is 58563 Hysteroscopy, surgical; with endometrial ablation (endometrial resection, . Most women are ready to go home within an hour after the procedure. . These are called Essure and Adaina.
http://www.outpatientsurgery.net/issues/2010/07/coding-billing

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4:29 pm
February 17, 2005


Othello

New Member

posts -1

July/August 2006 Texas Medicaid Bulletin, No. 197 - Tmhp.com
Procedure code G0121 is a benefit of the Texas Medicaid . billing Current Procedural Terminology (CPT) code . Essure is Now a Benefit of Texas Medicaid .
http://www.tmhp.com/Texas_Medicaid_Bulletin/197_M.pdf

Cervical conization - Wikipedia, the free encyclopedia
Cervical conization (CPT codes 57520(Cold Knife) and 57522(Loop Excision)) refers to a biopsy . Usually outpatient. loop electrical excision procedure (LEEP).
http://en.wikipedia.org/wiki/Cervical_conization

Consumer Health Ratings - Ambulatory Surgery - General Average ...
Consumers are expected to know CPT codes and how to use Excel files. . Additional procedure prices (average cost) listed by CPT code are at this site by . Essure (by Conceptus) is a permanent birth control method where tiny metal coils .
http://www.consumerhealthratings.com/index.php?action=showSubCats&cat_id=206


Division of Medical Services
to clarify Essure procedure specifications. Section 292.552 has . codes to include ranges from 230.0-238.9 for CPT codes J0348 and J1270. Section 292.593 .
http://www.sos.arkansas.gov/rulesRegs/Arkansas%20Register/2008/oct_2008/016.06.08-035.pdf

NORTH DAKOTA MEDICAID
31 of the United States Code, chapter 38;. • Any State laws . reimburse, CPT procedure code 58565 - Hys- . permanent implants (Essure® scalpel-free sterili- .
http://www.nd.gov/dhs/info/pubs/docs/medicaid/issue61-march2007.pdf


emerging trends and practical issues
sterilization (Essure®) for our patients. As we saw . (CPT) code 58356, with an approved Medicare pay- . introduced the Essure and HerOption® procedures.
http://www.obgmanagement.com/MedEdLibr/PDFs/Office_Procedures.pdf

Payment for Essure Micro-inserts
Feb 1, 2008 . Payment for Essure Micro-inserts . To receive reimbursement for the inserts, providers will bill CPT code 99070 in the procedure field and the .
http://www.hfs.illinois.gov/physicians/020108essure.html

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6:04 pm
February 17, 2005


GullyFoyle

New Member

posts -1

Preventive Services .docx
Diagnoses and Procedure Codes Applicable To Guideline: USPSTF A and B . For reimbursement of CPT 96110 append the appropriate “U” modifier to 96110 .
http://www.nhp.org/PDFs/Providers/preventive_services.pdf

Title of Medical Policy
The procedure can be done in the office, takes about 30 to 45 . Please note: There is no specific CPT code to identify ESSURE®. Per. CMS HCPCS Public .
http://www.phs.org/idc/groups/public/@phs/@php/documents/phscontent/pel_00052133.pdf

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6:56 pm
February 17, 2005


Worried_Dad

Member

posts 38

tracylyn and kathygy

Let's talk Essure
*See Essure Physician's Instructions For Use for more details regarding endometrial ablation procedures following Essure placement and confirmation.
http://www.essuremd.com/Portals/essuremd/PDFs/TopDownloads/CC-1928_27JAN09F.pdf

Instructions
This template continues to have Vasectomies, Tubal Ligations and Essure . Report 13C will give visit types (procedures) by CPT code – be sure to enter the .
http://www.cdphe.state.co.us/pp/womens/AdminNursingFiscalForms/SFS-CA%20Instructions%20for%20CY12.doc

ADMINISTRATIVE UPDATE
Reimbursement changes to Essure . †Denotes a CPT code that is an add-on/ secondary code included in the grouper . policies and procedures, and use the .
http://www.anthem.com/provider/noapplication/f5/s1/t0/pw_b136006.pdf?refer=ahpprovider&state=oh

NDMP-2010-0001
Aug 12, 2011 . procedure) using CPT code 58555. Rationale Source. References: Summary of Risks and Other Important Information – The Essure System .
http://www.nd.gov/dhs/services/medicalserv/medicaid/docs/hysteroscopic-tubal-occlusion.pdf

Disclosures
2012 CPT Codes for. Contraceptive Implant Procedures. CPT. Description . Code. ICD-9-CM description. • HSG for Essure or to evaluate for failed TL. V26.51 .
http://www.cardeaservices.org/training/webinars/documents/e09_Coding1HOs.pdf

CPT and ICD 9 Coding - National Reproductive Health Conference ...
Aug 7, 2012 . 2011 CPT Codes for. Contracep+ve Procedures. CPT. Descrip+on . Code. ICD- ?9-?CM descrip+on. • HSG for Essure or to evaluate for failed .
http://www.nrhc2012.com/presentations/Policar%20coding%20v2.pdf

N.C. DMA: August 2008 Medicaid Bulletin
Aug 1, 2008 . The following CPT procedure codes for x-rays have a limit of five per day: . Claims billed with other appropriate CPT codes for Essure and .
http://www.ncdhhs.gov/dma/bulletin/0808Bulletin.htm

Archives 2011 - Provider Hot Tip of the week
The family planning product Essure, CPT procedure code 58565, is available in both the office and outpatient settings. For the professional services performed .
http://dss.mo.gov/mhd/providers/pages/hta2011.htm

T EXAS MEDICAID BULLETIN T EXAS MEDICAID BULLETIN - TMHP
in CPT. The AMA assumes no liability for the data contained herein. . procedure codes, definitions (descriptions), and other data] is copyrighted by the .
http://www.tmhp.com/Texas_Medicaid_Bulletin/208_M.pdf

Medicaid Updates
Oct 20, 2011 . o DMA has replaced CPT code 86781 with CPT code 86780 as the . o Scheduling Hysterosalpingogram (HSG) after the Essure procedure .
http://communitycare-sandhills.org/attachments/article/23/October%202011.pdf

Tubal Reversal Insurance - 1
Aug 15, 2012 . The diagnosis code (ICD-9) for bilateral tubal occlusion is 628.2. The procedure code (CPT) for tubal anastomosis is 58750. If your insurance .
http://www.tubal-reversal.net/tubal-reversal-insurance1.htm

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1:13 pm
December 16, 2005


Matteo

New Member

posts 2

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Worried Dad,

Bright Future for Office-Based Procedures
Nov 11, 2010 . The number of office-based surgical procedures doubled from 1995 to 2005, . setting, the procedure retaining the same CPT code is reduced to $337.03. . Today more than 70% of Essure® procedures are performed in the .
http://www.obgynnewsnetwork.com/story-11.html


DEPARTMENT OF SOCIAL AND HEALTH SERVICES
Use CPT procedure code 11983 with ICD-9-CM diagnosis code V25.43 to remove the device with reinsertion on the same day; and. •. Enter the National Drug .
http://hrsa.dshs.wa.gov/download/Memos/2008Memos/08-79.pdf

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2:58 pm
December 16, 2005


kathygy

New Member

posts -1

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