Ob-Gyn Coding Alert

Reader Questions:

Here's What You Need to Know for TVH

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).