Preoperative Diagnosis: Uterine Mass
Postoperative Diagnosis: Uterine Mass
Operation: Hysteroscopy
Operation Description: A 43-year-old patient was diagnosed with a uterine mass as noted on an ultrasound. Patient was administered general anesthesia upon arrival to the operating room. The patient was prepped. The hysteroscope was introduced and biopsy was obtained. Specimen was sent to pathology. Patient tolerated the procedure well.
Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct CPT code for a hysteroscopy with biopsy is 58558. The ICD-10-CM code N85.8 corresponds to other specified noninflammatory disorders of the uterus, which is appropriate given the diagnosis of a uterine mass without further specification.