Ob-Gyn Coding Alert

Reader Question:

Simplify This Ectopic Pregnancy Scenario

Question: The patient had a ruptured ectopic pregnancy. The ob-gyn did a laparoscopy. The ectopic pregnancy had blown through the isthmus tube and was at the junction of the cornua. He cauterized the surface of the uterus with a Kleppinger for hemostasis. She did not actually lose the tube. The op report reads diagnostic laparoscopy, cauterization of ectopic site. What CPT code(s) should I report? Should I code 49320 for lap and find another for the cauterization?Virginia Subscriber

Answer: You should report only 59150 (Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy). You should include the diagnostic laparoscopy as part of this procedure. Also, you would include any cauterization or suturing of the ruptured tube as well.

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