kate8
Networker
I am looking for some help with CPT Pathology codes for this scenario. I have a case where they performed a C-section, and removed the Uterus at that time. The specimen is in one container, but the the Diagnosis includes a DX of the Placenta as well as the Uterus. Is the Placenta separately chargeable (ie. 88307x2)?
"UTERUS", (CAESAREAN HYSTERECTOMY):
- UTERUS AND PLACENTA, 780 G, APPROPRIATE FOR GESTATION.
- ADHERENT PLACENTA PERCRETA, EXTENDING THROUGH FULL
THICKNESS OF LOWER ANTERIOR UTERINE WALL.
- LOWER SEGMENT WITH FOCAL ENDOCERVICAL-TYPE LINING, NO
ECTOCERVIX IDENTIFIED.
- SCANTY DECIDUALIZED ENDOMETRIUM IDENTIFIED IN UPPER
UTERINE SEGMENT.
- MYOMETRIUM WITH FOCAL LEIOMYOMA (3.5 CM).
- UTERINE SEROSA, HISTOLOGICALLY UNREMARKABLE.
- NO EVIDENCE OF MALIGNANCY.
- THREE VESSEL UMBILICAL CORD, HISTOLOGICALLY UNREMARKABLE.
- ATTACHED MEMBRANES WITH PIGMENT LADEN MACROPHAGES.
- ACUTE SUBCHORIONITIS, MILD.
- VILLOUS DEVELOPMENT APPROPRIATE FOR GESTATION.
- MULTIFOCAL INTERVILLOUS HEMATOMAS/THROMBI.
"UTERUS", (CAESAREAN HYSTERECTOMY):
- UTERUS AND PLACENTA, 780 G, APPROPRIATE FOR GESTATION.
- ADHERENT PLACENTA PERCRETA, EXTENDING THROUGH FULL
THICKNESS OF LOWER ANTERIOR UTERINE WALL.
- LOWER SEGMENT WITH FOCAL ENDOCERVICAL-TYPE LINING, NO
ECTOCERVIX IDENTIFIED.
- SCANTY DECIDUALIZED ENDOMETRIUM IDENTIFIED IN UPPER
UTERINE SEGMENT.
- MYOMETRIUM WITH FOCAL LEIOMYOMA (3.5 CM).
- UTERINE SEROSA, HISTOLOGICALLY UNREMARKABLE.
- NO EVIDENCE OF MALIGNANCY.
- THREE VESSEL UMBILICAL CORD, HISTOLOGICALLY UNREMARKABLE.
- ATTACHED MEMBRANES WITH PIGMENT LADEN MACROPHAGES.
- ACUTE SUBCHORIONITIS, MILD.
- VILLOUS DEVELOPMENT APPROPRIATE FOR GESTATION.
- MULTIFOCAL INTERVILLOUS HEMATOMAS/THROMBI.