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We have created this web page to assist you in
learning the process of scheduling surgery or office procedures, verifying
benefits, and determining what your out of pocket expenses will be for your
upcoming surgery or procedure.
Considering Surgery? Have it in Our
Office!
We have increased our In Office Surgery Program!
Why?
- Lower costs for the patient
- Time savings for the patient and the Doctors
- Reduced anesthesia and better patient
tolerance
- Faster recovery time
- Procedure performed in the comfort of our
office
Who?
- All Ablations - Her Option ®,
Novasure ®, MEA ®, Hydrothermal
- Essure ®
Birth Control
- LEEPS
- Minor procedures/biopsies requiring anesthesia
When?
- Usually we perform surgery on
Monday's and Friday's, but can accommodate other days if necessary
How?
- Encompass Medical ®
brings everything you and the
doctors need for an in office surgery experience.
- At a cost savings to you, their fee
is only $295, and not a percentage of your hospital fees (For example if you
have a 90/10 plan, you are responsible for 10% of all fees, so if a hospital
charges $10,000 for an ablation, your portion to the hospital alone would be
$1000)
- If you have 100% hospital coverage
there will not be a fee to Encompass
THINGS TO DO TO
GET READY FOR SURGERY
1. Call your insurance company with the codes
given below and ask the questions below to determine if your surgery/office
procedure is covered
and how much it will cost you. Pay close attention to your deductible! (We will
call your insurance company also, but it is always good to have us both call)
2. Have all tests ordered by your doctor to
ensure you are a candidate for surgery, and that insurance will approve your
surgery/procedure.
3. Have your consult appointment with your doctor
to discuss your test results, and all your treatment options, and finalize
surgery plans. If you are not already on the surgery schedule, at this appointment time it is best to have the ideal days you are
available to have your surgery.
4. Call our surgery scheduler at 817-424-3112 ext
8 to coordinate a surgery/procedure date. It takes 2-3 days to coordinate with
hospital, anesthesia and assistant surgeons your surgery date.
INSURANCE INFORMATION 
If you are considering surgery, this section will
give you the common procedures codes for surgeries we perform, so you can
contact your insurance company to see if it is a covered benefit. You will need
to ask your insurance company several questions:
-
Is the procedure code a covered
benefit?
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Is it covered at 100% or what is your
percentage that you are required to pay. (this percentage will be paid to
all involved in your care, for example if you owe 10%, then that is 10% to
our office, 10% to the hospital, 10% to anesthesia, 10% to pathology). We
can give you the allowable for our portion, you will need to contact the
hospital and anesthesia office for information on their charges. (Baylor
Grapevine 817-424-4545, Harris Methodist Southlake Center 817-748-8700,
Pinnacle Anesthesia 972-233-1999)
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Do you have a deductible to meet? What is it
and how much of it has been met?
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Do you have a facility co-pay?
If financially you are able to have the surgery,
there are several clinical tests they need to be done in our office or ordered
by our office to get your surgery approved. We will list those tests below. In
general, you will need to have all required tests, and then a consult at our
office with your doctor to discuss all the results, and develop your treatment
plan. It is good to come to the consult appointment with some idea of dates you
would like for your surgery. In general we use Mondays and Friday's as our
blocked time for surgeries, although occasionally we can accommodate you on
different days.
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Procedure Codes
for Surgery/Office Procedures & Tests Required for that Surgery
In office Endometrial
Cryoablation (HerOption®) CPT code 58356
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CBC, sonogram, recent
pelvic exam, current pap smear, possible endometrial biopsy
In Office or Hospital Endometrial Ablation
(Novasure®) CPT code 58563
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CBC, sonogram, recent
pelvic exam, current pap smear, possible endometrial biopsy
In Office or Hospital Essure® Tubal Ligation CPT
code 58565
Total Laproscopic
Hysterectomy (TLH) CPT code
Total Abdominal Hysterectomy CPT
code 58150
-
CBC, sonogram, possible
endometrial biopsy, recent pelvic exam, current pap smear
Total Vaginal Hysterectomy (LAVH)
CPT code 58550
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CBC, sonogram, possible
endometrial biopsy, recent pelvic exam, current pap smear
Supracervical Hysterectomy
(LASH) CPT code 58544
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CBC, sonogram, possible
endometrial biopsy, recent pelvic exam, current pap smear
Tubal Ligation (Tubes Tied) CPT
code 58670 (Cowen/Robert) 58671 (Neal)
Hysteroscopy CPT code 58558
Removal of Ovarian
Cyst(Laparoscopy) CPT code 58925
Trans Obturator Sling (Bladder
Repair) CPT code 57288
Laser of Cervix CPT code
57513
Hymenotomy CPT code 56700
Hysterosalpingogram (HSG) CPT
code 58340
Office Procedures
Colposcopy (Abnormal Pap Smear
Evaluation) CPT code 57454
LEEP (Abnormal Pap Smear
Treatment) CPT code 57522
Mirena IUD J7302 Insertion
58300 *For IUD device, deductibles typically apply
Paragard IUD J7300 Insertion
58300 *For IUD device, deductibles typically apply
Implanon J7307 Insertion
11981 or 11975 *For device, deductibles typically apply
RECOVERY
Abdominal Hysterectomy usually
requires 2 nights in the hospital, and a 6 week recovery.
Vaginal Hysterectomy usually
requires 1-2 nights in the hospital and a 4-6 week recovery.
Supracervical hysterectomy
usually requires an overnight stay (23 hrs observation) and has a 2-4 week
recovery.
Bladder surgery usually
requires a 1 night stay in the hospital and a 2-3 week recovery.
Tubal ligations, hysteroscopy,
laparoscopy and ablations are done on an outpatient basis, and have a 1-2
day recovery.
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Surgery
Checklist 
- Have initial appointment with your
doctor
- Call your insurance company and verify
your benefits and your out of pocket expenses
- Have all required clinical testing
ordered
- Have consult appointment to discuss all
results of testing and establish treatment plan. At this time, please
tell your doctor several different dates that you are available for
surgery. He will then give your chart to our surgery scheduler.
- Contact the surgery scheduler to confirm
you are able to proceed with surgery. Kim can be reached at
817-424-3112 ext 8
- Give surgery coordinator 2-3 days to
coordinate requested dates with hospital, assistant surgeons, and
contact insurance company for verification and pre-certification
- Surgery coordinator will contact you
with surgery time and date, location, and out of pocket expenses for
proposed surgery. (We send an email and a letter with all information)
- Fees to our office are due 72 hours
prior to your surgery time. You may pay in full with cash, check or
credit card, or use our Online Payment Plan to satisfy your surgery
charges to our office.
Pre Op Instructions - ALL
SURGERIES
- Nothing to eat or drink after
midnight the night before your surgery
- No water, gum, candy or smoking
on the morning of your surgery (you will be cancelled by anesthesia if
you eat, drink, smoke or have candy the morning of your surgery)
- Report to the hospital at your
designated time, 1 1/2 hours prior to your surgery time.
- Avoid aspirin, and ibuprofen (motrin)
2 weeks prior to your surgery
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Post Op Instructions (click to view
or print)
Hysterectomy
Post Op Instructions
Ablation
Post Op Instructions
Tubal
Ligation Post Op Instructions
Hysteroscopy
Post Op Instructions
D & C
Post Op Instructions
Laparoscopy
(Scope) Post Op Instructions
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