Reader Questions:
Here's What You Need to Know for TVH
Published on Wed Sep 17, 2008
Question: I-m trying to code a "total vaginal hysterectomy." What should I report? California Subscriber Answer: Careful. You have to read the op report to get the details. Ask these questions: How much did the uterus weigh? (Your path report will include this information.) Did the doctor document the removal of the tubes and ovaries? Remember: You-ll see that the doctor transected the infundibulopelvic ligament (sometimes called "IP ligament") if he performs a BSO. Once you have that information, look at the available codes: - 58260 -- Vaginal hysterectomy, for uterus 250 grams or less - 58262 -- - with removal of tube(s), and/or ovary(s) - 58290 -- Vaginal hysterectomy, for uterus greater than 250 grams - 58291 -- - with removal of tube(s) and/or ovary(s).
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