The insertion of mesh is bundled with the sling. Although vaginal hysterectomy is generally safe, any surgery has risks. Colpopexy may be performed: Diagnosis Coding Tip: The description of the prolapse in the exam or operative note can provide guidance for the selection of ICD-10-CM codes in Category N81 Female genital prolapse. Stilley has more than 30 years of experience in the healthcare industry starting as a medical assistant, expanding her duties to billing and coding, and management in a teaching facility. CPT Vignettes illustrate code use through sample patientexamples. If you had your ovaries removed but hadnt reached menopause, youll begin menopause immediately after surgery. Each of the code sets are subdivided into uteri less than or greater than 250 grams and with or without removal of tube(s) and/or ovary(s). LAVH includes laparoscopically detaching the uterine body from the surrounding upper supporting structures. She was previously employed by AAPC, a member of the ICD-10 Training and Education team, and formerly director of Audit Services. Lisa L Withers, RHIA, CIRCC, CCS, is an Ambulatory Surgery Unit QI compliance auditor and trainer with almost 25 years of coding, chargemaster, payment methodology, catheterization laboratory, and interventional radiology coding/charging and revenue integrity. What is Bundling and Unbundling in Medical Coding? When the surgeon also removes one or both ovaries and fallopian tubes, its called a total hysterectomy with salpingo-oophorectomy (sal-ping-go-o-of-uh-REK-tuh-me). Insufflation with CO2 was done in the usual manner. This content does not have an English version. The uterus is then removed through the vagina or abdomen. 57270 - Repair of enterocele, . The patient was now placed in steep Trendelenburg position, and the robot was docked from the patients right side. To support medical necessity, report an ICD-10-CM code for stress urinary incontinence (SUI), if documented. TLH includes laparoscopically detaching the entire uterine cervix and body from the surrounding supporting structures and suturing the vaginal cuff. Special procedures FAQ008. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Vaginal hysterectomy is a surgical procedure to remove the uterus through the vagina. These cookies track visitors across websites and collect information to provide customized ads. Radical 58210 Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with or without removal of tube(s), with or without removal of ovary(s). There is also a laparoscopic-assisted vaginal approach a subset of the vaginal approach in which a scope is inserted via small incisions in the vagina. Following the above instructions carefully can lead to quick healing and reduced risk of complications. The retroperitoneal spaces here were developed. CPT code information is copyright by the AMA. Insertion of mesh +57267 Some payers no longer reimburse for procedures performed via power morcellator. https://www.uptodate.com/contents/search. Yes. Insertion of mesh +57267-59 Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure)-Distinct procedural service TLH includes laparoscopically detaching the entire uterine cervix and body from the surrounding supporting structures and suturing the vaginal cuff. %PDF-1.5 Even if you feel recovered, dont lift anything heavy more than 20 pounds (9.1 kilograms) or have vaginal intercourse until six weeks after surgery. Basic and Advanced Medical coding. Earn CEUs and the respect of your peers. Viewhistorical information about the code including when it was added, changed, deleted, etc. Codes include: endobj Clinical scenario 1: A small incision was made in the vaginal mucosa [at the vaginal vault/just above the cervix] and the Metzenbaum scissors were then used to dissect the mucosa off of the cystocele and cut the vaginal mucosa in the midline. The vagina is attached to the abdominal wall or a ligament (such as sacrospinous or uterosacral ligaments) to reduce or eliminate the prolapse. CPT Code2 Description Physician 3 Ambulatory Surgical Center 4 Hospital Outpatient Hysterectomy Continued 58260 Vaginal hysterectomy, for uterus 250 g or less; Facility Only: $865 $1,910 $4,503 58262 Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) Facility Only: $955 $1,910 $4,503 What is CPT code for hysterectomy? Some women are able to go home the day of the surgery. Tech & Innovation in Healthcare eNewsletter, Pressure Ulcer and Non-Pressure Ulcer ICD-10 Coding, ICD-10 Code Assignment for Pressure/Non Pressure Ulcers, Set a Pace for Better Implantable Defibrillator Coding, CPT 2018: E/M Aligns with Quality Care Initiatives. The codes would be: 57288, 57425-80 and 58542-80. Laparoscopic Assisted Vaginal Hysterectomy (LAVH). reverse_index/reverse_index_content.php?set=CPT&c=58280, cpt/cpt_reference_guidelines_content.php?set=CPT&c=58280, newsletters/newsletter_content.php?set=CPT&c=58280, webacode/webacode_content.php?set=CPT&c=58280, medlabtests/medlabtests_content.php?set=CPT&c=58280, crosswalks/crosswalk_content.php?set=CPT&c=58280, ncciedits/ncci_content.php?set=CPT&c=58280, coverage/coverage_content.php?set=CPT&c=58280, commercial-payers/commercial-payers-content.php?set=CPT&c=58280, NPI Look-Up Tool (National Provider Identifier), Major Complications or Comorbidities (MCC/CC), Create UNLIMITED Customized Fee Schedule reports - for ALL localities, ALL specialties, See fees for ALL localities (all ZIP codes) as well as National fees, Load UNLIMITED Fee Schedules with your fees or fees from your payers, Choose to compare fees (national or adjusted for your locality) from built-in data sets and the fee schedules you enter. ), Related CPT CodeBook Guidelines (Reverse Guideline Lookup). The vaginal cuff was closed with figure of eight sutures of 2-0 PDS on either corner, and then running the cuff between the corners with 2-0 PDS. Mesh is used in both the anterior and posterior repair, but the anterior will overlap the mesh used for the sling. N93 Other abnormal uterine and vaginal bleeding. In the first few weeks after a vaginal hysterectomy, it is normal to have bleeding (similar to a light menstrual period) that comes and goes but decreases over time. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. CPT code information is copyright by the AMA. Access to this feature is available in the following . You might not need to consider hysterectomy if medications or less invasive gynecological procedures manage your symptoms. Obstetrician-gynecologists or other surgeons performing vaginal hysterectomy must use the relevant CPT codes to bill for the procedure. Heres what you can do to prepare: Talk with your doctor about what to expect during and after a vaginal hysterectomy, including physical and emotional effects. 2 What is the CPT code for bilateral salpingo-oophorectomy? No charge. Her knowledge is enhanced by experience in multiple specialties including OB-Gyn, Maternal Fetal Medicine, General Practice, General Surgery, and Neurology. 58552 is a LAVH. 3 0 obj APC information including: Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more. Going beyond just getting the job done, we can help create sustainable improvement as part of your medical billing team. This site complies with the HONcode standard for trustworthy health information: verify here. You also have the option to opt-out of these cookies. What is the ICD 10 code for hysterectomy? or call toll-free from U.S.: (800) 762-2264 or (240) 547-2156 Since no CPT code includes both vaginal hysterectom y and anteroposter ior (A/P ) repair, code 57260 also is reported. either a prior hysterectomy, including removal of the cervix, or an abnormal Pap smear with . When compared to other types, hysterectomy through the vagina is minimally invasive, so recovery is normally shorter and easier. The best approach is to report code 58953 (Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking) plus the appropriate colectomy code (e.g., 44145) or other more appropriate code. View calculated CPT fee values specifically for your Medicare locality. What is the CPT code for a laparoscopic hysterectomy? We are looking for thought leaders to contribute content to AAPCs Knowledge Center. Peggy is a national speaker for AAPC. The information within the charts is intended to be used as a guide for correct coding and should not be used without a current CPT book. She is a member with Washington State Health Information Management Association, serving as the membership chair. 57284 Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach CPT 58280 in section: Vaginal hysterectomy, with total or partial vaginectomy CPT Code Set 58280 - CPT Code in category: Vaginal hysterectomy, with total or partial vaginectomy CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. Sling operations are performed to correct SUI, which occurs when the bladder leaks urine during physical exertion (e.g., coughing, sneezing, and exercise). A uterine manipulator can be used to assist with the laparoscopic portion of the colpotomy procedure. If you work with several fee schedules or would like to create custom fee comparison reports, you need our exclusive Compare-A-Feetool. Subscribers will be able to see codes in a code-book page-like view here. Vaginal hysterectomy 58260 Vaginal hysterectomy, for uterus 250 g or less A supraumbilical incision was made under 1/2% bupivicaine with epinephrine local anesthesia and a Veress needle placed into the abdominal cavity. Can CPT code 58571 and 52000 be billed together? Uterus is removed through the vaginal opening, and absorbable stitches are used to control any bleeding inside the pelvis. This cookie is set by GDPR Cookie Consent plugin. Although hysterectomy is a common procedure in gynecology practice, coding for it is a challenge due to so many code choices. Do not separately report cystocele with 57284 or 57285. The CPT codes for these procedures include: 58570Laparoscopic total hysterectomy for uterus 250g or less. She brings twenty five years of hands on management experience to the company. The bladder was reflected below the level of the impression of the Koh ring. But for some women, heightened sexual satisfaction occurs after hysterectomy perhaps because they no longer have pain during intercourse. Synonym: teLinde operation. N80 Endometriosis Where in the anterior colpo is an integral part. The uterine vessels bilaterally were skeletonized and cauterized with bipolar cautery. This section showsAPC information including: Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more. In the article Pinpoint Correct Hysterectomy Coding (August 2018, pages 16-18), the statement, a laparoscopic-assisted vaginal approach a subset of the vaginal approach in which a scope is inserted via small incisions in the vagina, is incorrect, and is not the basis for coding a laparoscopically assisted vaginal hysterectomy (LAVH) versus a total laparoscopic hysterectomy (TLH). When reporting vaginal hysterectomy, mid-urethral sling, and anterior/posterior repairs with grafts, be aware of edits that may apply. Recovery after vaginal hysterectomy is shorter and less painful than it is after an abdominal hysterectomy. Basic and Advanced Medical coding. endobj Obstetrics and Gynecology medical billing and coding is challenging, as it involves numerous rules related to reporting the procedure accurately. Allscripts EPSi. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. The laparoscopic instruments are able to make the incisions around the vaginal area while staying away from the ureters and vaginal fornix. She has authored several articles on billing, coding, and practice management, and currently a member of the Oklahoma City chapter. Discover how to save hours each week. CPT Code Set. Peggy Stilley, CPC, CPMA, CPC-I, CPB, COBGC is Revenue Integrity Auditor at Oklahoma Sports and Orthopedic Institute in Norman, Oklahoma. In CPT 2008, the American Medical Association (AMA) published the TLH set of codes (58570-58573). According to Total Laparoscopic Abdominal Hysterectomy and Laparoscopically Assisted Vaginal Hysterectomy, (American Hospital Associations (AHA) Coding Clinic for ICD-19-CM, First Quarter 2012, pages 3-4): The fact that the uterus is removed through the vagina does not indicate that the procedure performed was a laparoscopically assisted vaginal hysterectomy. As part of vaginal hysterectomy, the surgeon detaches the uterus from the ovaries, fallopian tubes and upper vagina, as well as from the blood vessels and connective tissue that support it. <> The surgeon enters the space of Retzius and re-attaches the lateral vagina to the level of the white line, or arcus tendineus fasciae pelvis. Available for over 5000 of the most common CPT codes. 58267 - CPT Code in category: Vaginal hysterectomy, for uterus 250 g or less. A single copy of these materials may be reprinted for noncommercial personal use only. You might be a candidate for a laparoscopically assisted vaginal hysterectomy (LAVH) or robotic hysterectomy. Its normal to have bloody vaginal discharge for several days to weeks after a hysterectomy, so youll need to wear sanitary pads. Both procedures allow your surgeon to remove the uterus vaginally while being able to see your pelvic organs through a slender viewing instrument called a laparoscope. In CPT 2008, the American Medical Association (AMA) published the total laparoscopic hysterectomy (TLH) set of codes (58570-58573). Bulk pricing was not found for item. Paravaginal defect repair 57284 You cannot become pregnant after a hysterectomy. The surgical approach can be abdominal (the uterus is removed via an incision in the lower abdomen), vaginal (the uterus is removed via an incision in the vagina), or laparoscopic (procedure is performed using a laparoscope, inserted via several small incisions in the body). LSH includes laparoscopically detaching the body of the uterus down to the uterine arteries. 300-400 new vignettes are added each year as codes added, revised and reviewed. 4 0 obj The vaginal portion of the procedure is then performed. Bilateral ureteric jets were visualized. Jan. 25, 2021. Excision or destruction Make a donation. Medications to reduce pain and prevent infections will be directly administered. Save time with a Professional or Facility subscription! Youll take medication for pain. Copyright 2023, AAPC All payers will require diagnosis codes to support the medical necessity for the procedure(s). % Choosing a route of hysterectomy for benign disease. The cervix is left in place. Surgeons can perform hysterectomy vaginally, abdominally or laparoscopically, with each option depending on the persons specific condition. Outsource Strategies International is one of the leading medical billing and coding companies in the medical outsourcing space focused on all aspects of revenue cycle management. There are several things to avoid for a smooth recovery . Your surgeon might recommend LAVH or robotic hysterectomy if you have scar tissue on your pelvic organs from prior surgeries or from endometriosis. The patient was taken to the PACU and left in stable condition. ACOG frequently receives requests for an explanation of the differences between coding for total laparoscopic hysterectomy (TLH) and laparoscopy with vaginal hysterectomy (LAVH). During a vaginal hysterectomy, the surgeon detaches the uterus from the ovaries, fallopian tubes and upper vagina, as well as from the blood vessels and connective tissue that support it, before removing the uterus. CPC Exam training. Every vignette contains a Clinical Example/Typical Patient and a description of Procedure/Intra-service. Could you please send the op notes and the preop. Coding 57240 (CPT 52000 is not separately billable). CPT code information is copyright by the AMA. All rights reserved. The CPT codes for vaginal hysterectomy include . https://www.acog.org/Patients/FAQs/Hysterectomy. D06 Carcinoma in situ of cervix uteri The cookie is used to store the user consent for the cookies in the category "Analytics". CPT codes and RVU Table: CPT Code Description 2021 Work RVUs 2021 Total RVUs (Facility) 57120 Colpocleisis (LeFort Type) 8.28 16.349 57106 Vaginectomy, partial Discover how to save hours each week. The uterine body is then separated from the cervix, hemostasis of the cervical stump is achieved, and the endocervical canal is coagulated. The new code, 58575, Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed, has been valued at 53.62 RVUs. We NEVER sell or give your information to anyone. Vaginal hysterectomy - 58260 Paravaginal defect repair - 57284 Posterior repair - 57250 Insertion of mesh - +57267 The coding solution depends on documentation. Each of the code sets are subdivided into uteri less than or greater than 250 grams and with or without removal of tube(s) and/or ovary(s). Withers formally held the office of treasurer for the Olympia, Wash., local chapter. CPT code 57425 is specific to vaginal suspensory procedures which involve placement of an artificial graft material to suspend the vagina from the sacrum. You will need to check your physicians documentation to bill the suspension with a vaginal hysterectomy. Specifically, "Vaginal Hysterectomy Coding Update: Claims Eligible for Resubmission on April 1, 2015" explains the use of modiifiers when billing vaginal hysterectomy codes with concomitant prolapse repair codes in great detail. These cookies ensure basic functionalities and security features of the website, anonymously. This is considered a routine component of the hysterectomy procedure and cannot be separately coded. It was coded as 58260 57240 52000 51535 Are these the correct codes to use for this case? She is CPC certified with the American Academy of Professional Coders (AAPC). CPT Code Set 58552 - CPT Code in category: Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. Upon exam, the patient is noted to have an incomplete prolapse, with the uterus found midway into the vaginal canal. Based on the technique the most appropriate procedure code for vNOTES hysterectomy is code 35750-00 [1269] Laparoscopic assisted vaginal hysterectomy . Taking adequate amount of rest, consuming a high-fiber diet and attending regular follow-up visits is important for a healthy surgical recovery. These cookies will be stored in your browser only with your consent. 52000 is the correct code, with modifier added. The uterus is then removed through the vagina or abdomen. An Asepto bulb was now placed vaginally to maintain pneumoperitoneum. What is the CPT code for bilateral salpingo-oophorectomy? All Rights Reserved. Your doctor can recommend medications for these symptoms. Therefore, patients need to limit their activities for a few weeks and follow the post-operative instructions carefully. When both anterior and posterior colporrhaphy are performed, report 57260 Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed. Your surgeon performs most of the procedure through small abdominal incisions aided by long, thin surgical instruments inserted through the incisions. The cookies is used to store the user consent for the cookies in the category "Necessary". But opting out of some of these cookies may affect your browsing experience. The vaginal apex is entered, and the cervix and uterus are detached from the remaining supporting structures. Enjoy a guided tour of FindACode's many features and tools. The final code set is for Total Laparoscopic Hysterectomy (TLH), indicated by CPT codes 58570 to 58573. We also use third-party cookies that help us analyze and understand how you use this website. vaginal . The vaginal apex is entered and the cervix and uterus are detached from the remaining supporting structures. Better ability to teach. American College of Obstetricians and Gynecologists. Modified radical hysterectomy. American College of Obstetricians and Gynecologists A Foley catheter was inserted, draining clear yellow urine. This, in addition to the laparoscopic radical hysterectomy with pelvic lymphadenectomy code (58548), is the third set of CPT codes addressing the laparoscopic approach to hysterectomy. ), Related CPT CodeBook Guidelines (Reverse Guideline Lookup). It does not store any personal data. ![e& O{Q*#andN7 CPT coding for laparoscopic hysterectomy is based on the size of the uterus and the method used to complete the procedure. vaginal cuff after completion of hysterectomy. Your first option is to report 58270 ( Vaginal hysterectomy, for uterus 250 grams or less; with repair of enterocele) with 57260-51 ( Combined anteroposterior colporrhaphy; multiple procedures ). The bladder was drained through the sheath of the cystoscope, and then the cystoscope was removed. (Science: procedure) An extended hysterectomy in which a portion of the upper vagina is removed; the ureters are exposed and pulled back laterally without dissection from the ureteral bed. The uterus is then removed through the vagina. in the treatment of vaginal vault prolapse after hysterectomy (N99.3) with considerable variation in the amount of vaginal epithelium that is removed (e.g. What does the expression playing possum means? Save time with a Professional or Facility subscription! A member of your surgical team will clean the surgical area with a sterile solution before surgery. Example 1: Consider reporting for the following: The uterus is finally removed through the vagina. Although it is not in numerical sequence with TLH, you would also include laparoscopic radical hysterectomy with pelvic lymphadenectomy (CPT 58548) in this code set. 4 Can 58661 and 58662 be billed together? Online Courses offered. First, the reason for the cystoscopy is due to abdominal pain and not to check the work of the lap surgery. Easier identification of ureters 6. You must log in or register to reply here. Privacy Policy | Terms & Conditions | Contact Us. 2002 2023. Your health care team will encourage you to get up and move as soon as youre able. Radical hysterectomy includes the removal of the entire uterus and nearby tissue, the cervix, and the top part of the vagina. A subtotal, partial, or supracervical hysterectomy is the removal of the fundus or top portion of the uterus only, leaving the cervix in place. View a chart showing the last 8+ years of Medicare denial rates, Medicare Allowed amounts, and Medicare billed amounts. Sterile dressings were applied. After a hysterectomy, you might feel relief because you no longer have heavy bleeding or pelvic pain. Greater ability to address pelvic floor support 6. It includes bivalving, coring, or morcellating the excised tissues, as required. The CPT codes for vaginal hysterectomy can now be billed with the CPT codes for vaginal vault Table 1: CPT codes for vaginal hysterectomy 58260 58262 58263 58267 58270 Vaginal hysterectom y, for uterus 250 gram s or less Copyright 2023 Stwnews.org | All rights reserved. For ICD-9-CM coding purposes, the key is that the structures were detached from surrounding structures or tissues laparoscopically via the abdomen. What is the CPT code for total abdominal hysterectomy? Table of Medical Services and Outpatient Services CPT Code Descriptions (continued) CPT Code Description 58291 Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s) 58292 Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s), with repair of enterocele 58294 . Vaginal hysterectomy. 5 What is the CPT code for radical hysterectomy? x[YoH~fx`KfhHDI3C6j7_o>>Wz~~S_~)T;8Uk\o~?$Fu0)k[xQN?iL*`2^G:oL7E3m&w\@]BXa1 B-hvI4=?&,e|) L=MBu;';->kz?o_} #C.AYu:1,Lx* Lu%E7[ss=$1nnuu'z_u'/if|AD)>\x`2g7o3W@R|w2:robKN\C]^H`J;KaX?v- +#]s-ayqHw\d^%i NHr8 jV"jZ+IIfUCg_#VEEZd k-0K0j1N?\6+u;|R_?~ -@o2`O *S~DFEO)L]nvQ-'P1Y y.X4Y>Pr + ,Am,h8 The 8 mm sites were closed with skin glue. C51-58 Malignant neoplasm of female genital organs Payers will consider the removal of the myomas prior to the removal of the uterus as an inclusive component of the complex vaginal and excisional hysterectomy procedure codes (58290- 58294, 58553-58554) and the total abdominal hysterectomy and radical pelvic exenteration codes (58150- 58240). The surgical procedure is done to remove a womans uterus or womb. With all the complexities involved, the support of a reliable and experienced medical coding service provider can be useful for reporting vaginal hysterectomy procedure correctly. First degree prolapse is incomplete and the uterus drops to the upper portion of the vagina. Vaginal hysterectomy treats various gynecological problems, including: Fibroids. Accessed Nov. 8, 2018. Accessed Nov. 6, 2018. The surgeon enters the space of Retzius and re-attaches the lateral vagina to the level of the white line, or arcus tendineus fasciae pelvis. The needle was removed and replaced with a 12 mm port. Accessed Nov. 6, 2018. Your surgeon then removes the uterus through an incision made in your vagina. *A morcellator is a surgical instrument that minces tissue into small pieces, which are removed through the scope. CPT code information is copyright by the AMA. The first code set is categorized as Laparoscopic Supracervical Hysterectomy (LSH), indicated by CPT codes 58541 to 58544. As a result, we are re-posting our previous article on this topic. As a contributor you will produce quality content for the business of healthcare, taking the Knowledge Center forward with your knowhow and expertise. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. 710 became effective on October 1, 2021. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Copyright 2023, AAPC Hysterectomy procedures / codes that involve an incision into the abdomen, including trocar insertion are categorized as NHSN HYST - abdominal hysterectomy procedures; therefore, a few of the CPT codes that include " laparoscopy, surgical, with vaginal hysterectomy " in the procedure description are included in the HYST procedure category. The ICD-10-CM codes are N81.2 Incomplete uterovaginal prolapse for a second-degree uterovaginal prolapse and N39.3 Stress incontinence (female) (male). Ullom AL. What is the CPT code for laparoscopic Omentectomy? 1 What is CPT code for vaginal hysterectomy? Laparoscopic supracervical hysterectomy (LSH) 58541-58544 The structures are detached through the scope and tissue is morcellated* into smaller pieces and removed through the scope. Posterior repair 57250 For certain conditions, the Fallopian tubes and ovaries are also removed. The new codesas with codes for any vaginal or laparoscopic approachare selected based on 1) the documented weight of the uterus and 2) whether the fallopian tubes or ovaries have been removed. One unit of the code may be reported for each site repaired. I have a surgeon that assisted another surgeon with a robotic hysterectomy with BSO and robotic sacrocolpopexy and then was the primary surgeon for her midurethral sling. Consider the following chart example: 2 0 obj Laparoscopy was performed with findings as noted above. This is your first step in selecting the right code. Cancel anytime. Or you might have depression related to the loss of your fertility, especially if youre young and hoped for a future pregnancy.
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