Z582

PDF page 747 / V7

ENDOSCOPY
    Hysteroscopy
# Z582 - diagnostic ...........................................................................                 111.50      6
# Z583 - with uterine biopsy and/or D&C..........................................                               133.70      6
# Z585 - with cannulization of tube(s), lysis of intrauterine adhesions                                         149.60      6
# Z587 - with resection of one or more endometrial polyps or fibroids,
         with or without D&C............................................................                        206.35      6
# Z586 - with lysis of intrauterine adhesions/synechiae requiring a
         minimum of 60 minutes of surgical time .............................                                   368.75      7
         [Commentary:
         Lysis of intrauterine adhesions/synechiae requiring less than 60 minutes constitutes the service
         described by Z585.]
         Note:
         Only one of Z582, Z583, Z585, Z587 or Z586 is eligible for payment for the same patient on the
         same day.

PDF page 747 / V7

INCISION OR EXCISION
# E861    - paracervical block - payable in addition to endometrial
            sampling, ablation or curettage by same physician in an
            office - unilateral or bilateral....................................... add                            9.00
   Z770 Endometrial sampling .............................................................                       38.85
   E542   - when performed outside hospital ............................... add                                  12.65
# S772 Endometrial ablation by any method ...................................... 225.90    6
      Note:
      Hysteroscopy (Z582, Z583, Z587) is not eligible for payment when rendered with endometrial
      ablation (S772).

Master, record 7310. Record Layout PDF, page 1.

Z58220260401999999990000111500000000000000000000000000000095760000000957600

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.