Exploratory Laparotomy with vaginal cuff repair- advice

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desireewhite185@yahoo.com

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Hello,
I was hoping for some advice on this procedure. (Original hysterectomy over 90 days ago, in September) Procedure- Exploratory Laparotomy with repair of vaginal cuff, partial omentectomy, bowel exploration...
I would be coding just for the Exp. Lap and repair of vaginal cuff. I did some quick research and found unlisted 59899 or possibly 12020 and the ex. lap 49000, so I wanted to see what you think. Ty!

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desireewhite185@yahoo.com said:
Hello,
I was hoping for some advice on this procedure. (Original hysterectomy over 90 days ago, in September) Procedure- Exploratory Laparotomy with repair of vaginal cuff, partial omentectomy, bowel exploration...
I would be coding just for the Exp. Lap and repair of vaginal cuff. I did some quick research and found unlisted 59899 or possibly 12020 and the ex. lap 49000, so I wanted to see what you think. Ty!

View attachment 8274
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The vaginal cuff repair is 58999 and you can compare the work to 12020. If your provider did the exploratory start to finish, then you also report 49000 as your primary code, followed by the unlisted code. Alternatively, you could report just 49000 and consider adding a modifier -22 for the additional work in closing the vaginal cuff.
 
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