Ob-Gyn Coding Alert

READER QUESTIONS:

Stop Searching for Lysis in Vaginal Cuff

Question: My ob-gyn documented "lysis of adhesive (vertical band) in the vaginal cuff." How should I report this?


Virginia Subscriber


Answer: You won't find any code that comes close to the procedure you describe, so you will have to use 58999 (Unlisted procedure, female genital system [nonobstetrical]) - the same code you would report for granulation of the vaginal cuff or bleeding of the cuff following hysterectomy.

None of the codes fit for excising anything other than a lesion from the vagina, and payers would not consider this procedure a colporrhaphy under the CPT definition.

Remember, you'll have to be extra vigilant with your documentation and provide a description of the procedure in plain English as well as a comparison to a procedure that has an existing code (if possible).

The answers for Reader Questions and You Be the Coder were provided by Melanie Witt, RN, CPC, MA, an ob-gyn coding expert based in Fredericksburg, Va.

Other Articles in this issue of

Ob-Gyn Coding Alert

View All