Cpt Code 58340 Hysterosalpingogram/hsg test coding guide

Basics about hsg test/Hysterosalpingogram Cpt Code 58340

Hysterosalpingogram or hsg scan/test is an x-ray study inside of the uterus and fallopian tubes. During this procedure a dye is injected through the vagina and into the uterus. The dye flows both into uterus and fallopian tubes. Images are obtained using fluoroscopy.  The image helps in finding any abnormality in the uterus or fallopian tubes.

Uterus x ray exam in done especially on women who are having hard time to become pregnant. Hence, this exam also helps in finding any blockage which is preventing the egg moving from the fallopian tube to the uterus. The obstruction can prevent the sperm from joining with the egg and fertilizing it.

We are here to learn Hysterosalpingogram Cpt Code used in interventional radiology coding. This CPT code is used frequently for patient coming with female infertility. Below are the Hysterosalpingogram Cpt Code used for studying uterus and fallopian tubes.

 

Awesome tips to code Hysterosalpingogram Cpt Code

58340Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography

76831Saline infusion sonohysterography (SIS), including color flow doppler, when performed

74740Hysterosalpingography, radiological supervision and interpretation

The first primary code is always 58340 for Injection procedure coded with secondary Sonohysterography or Hysterosalpingogram Cpt Code. But, the secondary CPT code depends on the either hysterosonography (76831) or hysterosalphingography (74740). Hysterosonography or hsg exam uses ultrasound while hysterosalphingography uses fluoroscopy to take images for study.

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Diagnosis related to Hsg scan Cpt Code 58340

Hysterosalpingogram Cpt Code is always coded with diagnosis causing a blockage in uterus or diagnosis related to female infertility. The other problems which lead to perform hysterosalphingography are problems in uterus like polyps, fibroid, adhesions, abnormal shape or structure etc. So, next time you see a physician performing hysterosalphingography do check to search for these diagnosis in the report. These are the most common diagnosis found along Hysterosalpingogram Cpt Code.

 

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Difference between Hysterosonography(76831) and Hysterosalpingography(58340)

The most common use of hysterosonography is for evaluation of patients with dysfunctional or postmenopausal bleeding when endometrial abnormalities (eg polyps, hyperplasia, carcinoma) are suspected. Hysterosonography may also be used to evaluate fallopian tube patency and endometrial cavity anatomy for infertility patients.

Hysterosonography entered into widespread use over the past four years. This growth is due in part to the avoidance of the exposure to radiation and iodinated contrast (associated with x-ray hysterosalpingography), anesthesia, and an operative setting (associated with hysteroscopy).

Hysterosonography shares some of the same technical imaging requirements as transvaginal ultrasound, however, unlike transvaginal ultrasound, hystero-sonography requires catheterizing the cervix. The procedure may be performed either by one physician doing both the catheterization and imaging or by two physicians, with one doing the catheterization portion of the procedure and the other physician supervising and interpreting the imaging. In either instance, both an imaging code and a catheterization code would be reported.

The catheterization and injection of saline associated with hysterosonography is very similar to that associated with hysterosalpingography and injection of iodinated contrast media. Therefore, rather than add a new code for the hysterosonography catheterization, CPT code 58340 was editorially revised to accommodate reporting of either procedure.

Medicare Reimbursement rate, cost, price of CPT code 58340

Below are the Medicare Reimbursement rate, cost, price of CPT code 58340 for all MAC & locality/region wise as per the data available.

HCPCS CodeModifierShort DescriptionMac LocalityNon-Facility PriceFacility PriceNon-Facility Limiting ChargeFacility Limiting ChargeConv FactDiag Imaging Family Ind
58340Catheter for hysterography0$251.44$57.95$274.70$63.3133.887299
58340Catheter for hysterography111205$332.40$66.54$363.15$72.6933.887299
58340Catheter for hysterography111206$332.40$66.54$363.15$72.6933.887299
58340Catheter for hysterography111207$332.40$66.54$363.15$72.6933.887299
58340Catheter for hysterography111209$340.30$67.67$371.78$73.9333.887299
58340Catheter for hysterography111251$308.13$63.35$336.63$69.2133.887299
58340Catheter for hysterography111252$332.57$66.70$363.33$72.8733.887299
58340Catheter for hysterography111253$308.00$63.23$336.49$69.0833.887299
58340Catheter for hysterography111254$267.93$59.15$292.71$64.6233.887299
58340Catheter for hysterography111255$267.21$58.42$291.92$63.8333.887299
58340Catheter for hysterography111256$267.21$58.42$291.92$63.8333.887299
58340Catheter for hysterography111257$267.21$58.42$291.92$63.8333.887299
58340Catheter for hysterography111258$267.21$58.42$291.92$63.8333.887299
58340Catheter for hysterography111259$267.21$58.42$291.92$63.8333.887299
58340Catheter for hysterography111260$267.21$58.42$291.92$63.8333.887299
58340Catheter for hysterography111261$267.21$58.42$291.92$63.8333.887299
58340Catheter for hysterography111262$268.84$60.06$293.71$65.6233.887299
58340Catheter for hysterography111263$276.33$59.81$301.89$65.3433.887299
58340Catheter for hysterography111264$283.25$60.93$309.45$66.5633.887299
58340Catheter for hysterography111265$341.07$68.44$372.62$74.7733.887299
58340Catheter for hysterography111266$295.26$61.71$322.58$67.4233.887299
58340Catheter for hysterography111267$294.98$61.82$322.27$67.5433.887299
58340Catheter for hysterography111268$267.21$58.42$291.92$63.8333.887299
58340Catheter for hysterography111269$267.21$58.42$291.92$63.8333.887299
58340Catheter for hysterography111270$267.21$58.42$291.92$63.8333.887299
58340Catheter for hysterography111275$267.21$58.42$291.92$63.8333.887299
58340Catheter for hysterography118217$290.03$61.51$316.86$67.2033.887299
58340Catheter for hysterography118218$291.60$62.31$318.57$68.0733.887299
58340Catheter for hysterography118226$291.60$62.31$318.57$68.0733.887299
58340Catheter for hysterography118271$267.28$58.50$292.01$63.9133.887299
58340Catheter for hysterography118272$288.65$61.10$315.35$66.7533.887299
58340Catheter for hysterography118273$274.15$59.17$299.50$64.6533.887299
58340Catheter for hysterography118274$288.32$60.97$314.99$66.6133.887299
58340Catheter for hysterography121201$281.38$59.64$307.41$65.1633.887299
58340Catheter for hysterography131200$251.91$58.41$275.21$63.8233.887299
58340Catheter for hysterography210201$286.16$73.31$312.63$80.0933.887299
58340Catheter for hysterography220200$225.58$52.78$246.44$57.6733.887299
58340Catheter for hysterography230201$268.14$58.58$292.94$64.0033.887299
58340Catheter for hysterography230299$242.12$55.20$264.52$60.3133.887299
58340Catheter for hysterography240202$296.62$63.07$324.06$68.9133.887299
58340Catheter for hysterography240299$256.31$57.59$280.02$62.9233.887299
58340Catheter for hysterography310200$242.73$56.39$265.18$61.6133.887299
58340Catheter for hysterography320201$251.34$57.84$274.59$63.1933.887299
58340Catheter for hysterography330201$248.95$55.45$271.98$60.5833.887299
58340Catheter for hysterography340202$248.43$54.93$271.40$60.0133.887299
58340Catheter for hysterography350209$234.75$55.58$256.47$60.7233.887299
58340Catheter for hysterography360221$250.45$56.95$273.61$62.2233.887299
58340Catheter for hysterography411201$261.47$58.30$285.66$63.7033.887299
58340Catheter for hysterography421205$230.99$56.46$252.36$61.6833.887299
58340Catheter for hysterography431200$225.76$54.32$246.64$59.3533.887299
58340Catheter for hysterography441209$253.61$57.41$277.07$62.7233.887299
58340Catheter for hysterography441211$254.27$57.48$277.79$62.8033.887299
58340Catheter for hysterography441215$253.54$57.53$276.99$62.8533.887299
58340Catheter for hysterography441218$256.33$59.74$280.04$65.2633.887299
58340Catheter for hysterography441220$233.77$54.98$255.39$60.0733.887299
58340Catheter for hysterography441228$249.64$56.92$272.73$62.1833.887299
58340Catheter for hysterography441231$261.64$57.89$285.84$63.2533.887299
58340Catheter for hysterography441299$239.46$55.64$261.61$60.7833.887299
58340Catheter for hysterography510200$229.27$53.19$250.48$58.1133.887299
58340Catheter for hysterography520200$228.90$53.40$250.07$58.3433.887299
58340Catheter for hysterography530201$243.36$56.83$265.87$62.0833.887299
58340Catheter for hysterography530202$240.75$56.55$263.02$61.7833.887299
58340Catheter for hysterography530299$219.53$54.09$239.83$59.0933.887299
58340Catheter for hysterography540200$229.11$52.45$250.30$57.3033.887299
58340Catheter for hysterography610212$239.69$59.74$261.86$65.2733.887299
58340Catheter for hysterography610215$266.09$61.96$290.71$67.6933.887299
58340Catheter for hysterography610216$263.35$63.47$287.71$69.3433.887299
58340Catheter for hysterography610299$233.70$57.23$255.31$62.5233.887299
58340Catheter for hysterography620200$252.37$55.19$275.71$60.3033.887299
58340Catheter for hysterography630200$237.35$53.52$259.30$58.4733.887299
58340Catheter for hysterography710213$217.15$52.10$237.24$56.9233.887299
58340Catheter for hysterography720201$238.10$57.96$260.13$63.3233.887299
58340Catheter for hysterography720299$225.23$55.73$246.07$60.8933.887299
58340Catheter for hysterography730200$216.93$53.04$237.00$57.9533.887299
58340Catheter for hysterography810200$229.65$53.38$250.89$58.3133.887299
58340Catheter for hysterography820201$252.89$60.94$276.28$66.5833.887299
58340Catheter for hysterography820299$232.50$56.23$254.01$61.4333.887299
58340Catheter for hysterography910203$255.09$61.79$278.69$67.5133.887299
58340Catheter for hysterography910204$264.29$65.95$288.73$72.0533.887299
58340Catheter for hysterography910299$240.57$58.68$262.82$64.1133.887299
58340Catheter for hysterography920220$251.44$57.95$274.70$63.3133.887299
58340Catheter for hysterography920250$251.44$57.95$274.70$63.3133.887299
58340Catheter for hysterography1011200$223.79$53.90$244.49$58.8933.887299
58340Catheter for hysterography1021201$251.09$57.98$274.31$63.3433.887299
58340Catheter for hysterography1021299$225.71$55.24$246.58$60.3533.887299
58340Catheter for hysterography1031235$226.17$53.18$247.09$58.1033.887299
58340Catheter for hysterography1120201$230.33$54.64$251.64$59.6933.887299
58340Catheter for hysterography1130200$248.45$56.89$271.43$62.1533.887299
58340Catheter for hysterography1140216$222.34$55.94$242.91$61.1133.887299
58340Catheter for hysterography1150200$234.39$55.02$256.07$60.1133.887299
58340Catheter for hysterography1210201$252.88$58.03$276.27$63.3933.887299
58340Catheter for hysterography1220201$300.62$65.72$328.43$71.8033.887299
58340Catheter for hysterography1230201$272.50$62.17$297.71$67.9233.887299
58340Catheter for hysterography1230299$257.73$59.01$281.57$64.4733.887299
58340Catheter for hysterography1240201$293.43$63.95$320.58$69.8633.887299
58340Catheter for hysterography1240299$279.57$62.08$305.43$67.8233.887299
58340Catheter for hysterography1250201$267.77$61.12$292.54$66.7733.887299
58340Catheter for hysterography1250299$236.47$55.94$258.34$61.1133.887299
58340Catheter for hysterography1310200$274.79$61.56$300.21$67.2533.887299
58340Catheter for hysterography1320201$297.17$68.07$324.65$74.3633.887299
58340Catheter for hysterography1320202$305.29$70.78$333.53$77.3233.887299
58340Catheter for hysterography1320203$277.46$63.65$303.13$69.5433.887299
58340Catheter for hysterography1328299$239.81$55.60$261.99$60.7433.887299
58340Catheter for hysterography1329204$304.27$69.76$332.42$76.2133.887299
58340Catheter for hysterography1411203$250.89$56.42$274.09$61.6433.887299
58340Catheter for hysterography1411299$229.18$54.07$250.38$59.0733.887299
58340Catheter for hysterography1421201$295.53$63.34$322.87$69.2033.887299
58340Catheter for hysterography1421299$264.47$59.17$288.93$64.6433.887299
58340Catheter for hysterography1431240$258.81$58.35$282.75$63.7533.887299
58340Catheter for hysterography1441201$261.27$59.26$285.44$64.7433.887299
58340Catheter for hysterography1451250$248.62$55.71$271.62$60.8633.887299
58340Catheter for hysterography1510200$223.28$54.36$243.94$59.3933.887299
58340Catheter for hysterography1520200$232.66$56.19$254.18$61.3933.887299

source link:

https://www.cms.gov/medicare/physician-fee-schedule/search?Y=0&T=0&HT=0&CT=3&H1=58340&M=5

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Do and Don’t Hysterosalpingogram Cpt Code 58340

Never code a Hysterosonograhpy code 76831 when the exam is performed under fluoroscopy i.e. hysterosalphingography 74740.

Do code supervision and interpretation code 74740, which is always performed with Hysterosalphingogram CPT Code.

Do not code hysterosonography 76831 and hysterosalphingogram S&I code 74740 together unless the documentation support.

Codes 74742 and 58345 (Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with or without hysterosalpingography) include diagnostic imaging if performed. As such, do not also assign CPT code 58340 and 74740 when reporting the codes for re-establisment of patency. If performed bilaterally, assign code 58345 x2 and 74742 x2. Modify as directed by local payer.

ICD Codes related to hysterosalphingogram CPT code

N73.6 Female pelvic peritoneal adhesions (postinfective)
N97.1 Female infertility of tubal origin
N97.2 Female infertility of uterine origin
N97.8 Female infertility of other origin
N97.9 Female infertility, unspecified
Z31.41 Encounter for fertility testing

Hope you would have understood how to use Hysterosalphingogram cpt code in IVR procedures. If you would have liked it do share it.

 

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