Ob-Gyn Coding Alert

Reader Questions:

Different MDs for C-Section and Hysterectomy? Do This

Question: My provider assisted with a c-section and then performed the hysterectomy. The code for c-section only is 59514 for my provider since she won’t be providing postpartum care. The patient’s ob-gyn will be billing for the ante-and post-partum care as well as the C-section, code 59510. I am looking for coding guidance on the hysterectomy that my provider performed. Does CPT® code +59525 have to be done by the same primary provider who bills the 59510, or do I use the hysterectomy code 58150? Any guidance would be appreciated.

Oregon Subscriber

Answer: You should use +59525 (Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure)) for this hysterectomy, since your provider was involved in the delivery and is doing the hysterectomy through the same incision.

You should only use 58150 (Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s)) if the patient delivered, was closed, then there was a suspected complication/bleeding, and the patient was re-opened by your physician.

You may encounter cases where a physician who was in no way involved in the delivery is called in (while patient still open) to perform a hysterectomy. In that situation, you should report 58150-52 (Reduced services).

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