Ob-Gyn Coding Alert

Question: My ob-gyn's documentation states the following: Attempted dilation and curettage Partial excision of cervical fibroid Complications: Inability to cannulate the cervix Findings: 2 cm wide apparent fibroid filling the endocervical canal"... The cervix was visualized and there was a firm rounded lesion at the cervical os. Initially, this was felt likely to be a cyst. An attempt was made to dilate the cervix and the endocervical canal could not be identified. I then incised the lesion hoping for drainage of a cervical cyst. However, it turned out to be a solid lesion. This was partially excised sharply in hopes of identifying the endocervical canal. However, I was able to size it at least half way up to the endocervical canal. Still unable to identify the cervical os or passageway for instruments. Then called for lacrimal duct probe. Multiple attempts were made to identify the cervical os or endocervical canal, [...]