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Table 1 CPT codes for identifying index cohorts

From: Cost comparison between uterine-sparing fibroid treatments one year following treatment

Treatment category

 

CPT-4 codes

The 3 study cohorts

  

Magnetic Resonance Focused Ultrasound (MRgFUS)

 

0071T, 0072T

Uterine Artery Embolization (UAE)*

 

36247, 37204, 52250, 37210 and require UF dx on claim for each of the codes

Myomectomy

 

58140, 58146

 Abdominal

 

58140, 58146

 Vaginal

 

58145

 Laparoscopic or robotic

 

58545,58546, 58551

Procedure codes used in exclusion criteria

  

Endometrial ablation

 

56356, 58353, 58563

Excision/destruction of lesion of uterus

 

58561

Hysterectomy

  

Total abdominal

58150, 58152, 58200,58953, 58954, 58956

 

 Vaginal

 

58260,58262, 58263, 58267, 58270, 58275, 58280, 58285, 58290-58294

 Laparoscopic or robotic

 

58550, 58552, 58553, 58554, 58541, 58542, 58543, 58544, 58570, 58571, 58572, 58573, 58578*

 Subtotal

 

58180

 Radical*

 

58210, 58548 and require UF diagnosis on claim for each of the codes

  1. Notes:
  2. *Require a UF diagnosis on the claim with the CPT4 code for all of the Radical Hysterectomy and UAE CPT4 codes, plus CPT4 code 58578. UF diagnosis = ICD-9-CM dx codes 218.xx, 219.xx or 654.1x.