Table 1.
CPT codes for identifying index cohorts
| 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 |
Notes:
*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.