It also should be noted that laparoscopic fulguration of any tissue of the uterine

adnexa
fallopian tubes, ovaries, pelvic vi cera, and peritoneal surface -is coded to 58662
in the
oviduct sub ection, whether or not fallopian tube lesions are actually fulgurated,
because their
involvement is inherent in procedures on the adnexa.

If adnexal structures are removed during a surgical laparoscopy, code 58661 is u

ed.

According to CPT Assistant (January 2002), if either of the ovaries or the tubes
are removed
on both side, modifier -50 is appended to code 58661.

A hysteroscope is a thin, telescope-like instrument that allows the physician to

look inside
the uterus. After insufflation of the uterine cavity with CO2 (carbon dioxide), the
hysteroscope
is in erted through the cervical canal and into the uterus. This direct vi
ualization improves the
accuracy of diagno is and treatment. Accessory instruments that may be used with a
hystero
scope procedure include cis ors, forceps, lasers, and various electrodes.

A D&C is commonly performed with a hysteroscopic biopsy or polypectomy (58558).

Therefore, no additional code is assigned to identify the D&C because it is

included in
58558.