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2019 AAGL Endometriosis Survey

Recently we have seen many questions regarding coding for endometriosis surgery on the listserv. AAGL is aware of the difficulty that many gynecologic surgeons have experienced with proper reimbursements for endometriosis due to the lack of descriptive CPT codes—a taskforce for endometriosis coding revision has been established to address this problem. AAGL has been working closely with ACOG to gain their support to revise current CPT codes for endometriosis surgery and we would like to know the opinions of AAGL members on this issue. Please fill out the brief survey below.
1. Do you practice in the United States? *This question is required.
2. Do you predominantly perform excision of endometriosis or ablation of endometriosis? *This question is required.
3. How many cases of endometriosis surgery do you perform in a month? *This question is required.
4. Do you feel comfortable with both conservative and definitive treatment for stage IV endometriosis with obliteration of cul-de-sac? *This question is required.
5. If you don’t feel comfortable with surgical treatment for severe endometriosis, is there a resource available locally for referral? *This question is required.
6. Do you think the current CPT code 58662 is adequate in describing the work for surgical treatments for endometriosis of various degrees of severity, even with the use of modifier 22? *This question is required.
7. Do you believe that there is a need for a CPT code for laparoscopic excision of endometriosis that is distinct from the code for laparoscopic ablation of endometriosis? *This question is required.
8. If objective, quantitative criteria, similar to those used in laparoscopic myomectomy can be established to describe different levels of surgery to address various severity of endometriosis, would you be supportive of the revision? *This question is required.