hysterectomy

  1. S

    Wiki Hysterectomy & Myomectomy

    I am far from an expert and actually very new to OBGYN specialty. I have a surgery that I am unsure of which CPT codes are appropriate and any advice would be appreciated. Case: Pre-procedure diagnosis: 1. Abnormal uterine bleeding 2. Dysmenorrhea 3. Uterine fibroids 4. Pelvic pain...
  2. R

    Wiki 37617 Ligation of uterine artery with 58571

    Hello, I am looking for a diagnosis code to support CPT code 37617 Bilateral ligation of uterine artery. The provider did this in addition to a 58571 Total laparoscopic Hysterectomy. I have N93.9 Abnormal uterine bleeding. R10.2 Pelvic pain and N80.9 Endometriosis. However none of these...
  3. H

    Wiki Hysterectomy following C-section, done by a diff. Dr., at same DOS

    Our Dr. is called in as a specialist for complex cases, to perform a hysterectomy right after a C-section. What code should we be billing the Hysterectomy? C-section was done by another Dr. (not in our practice). Our Dr. simply is doing the hysterectomy, bladder sling, etc. 58150 ? But the...
  4. J

    Wiki Minilap hysterectomy - open or lap code?

    I am having difficulty finding a definitive source regarding minilaparotomy coding. 58570-58573 vs 58150 Surgeon is performing laparoscopic/robotic da vinci hysterectomy for an oncology Dx and the organs/tissues cannot be removed vaginally. Instead, a port/arm site incision is extended, the...
  5. K

    Wiki How to code for discontinues surgery

    During a recent attempt to perform a total laparoscopic hysterectomy, it was found that the trocar had perforated the bowel. A general surgeon was called in for consult, the hysterectomy was discontinued and the general surgeon proceeded with a bowel repair. Should I still bill 58571 with a...
  6. D

    Wiki hysterectomy with colpopexy

    I would like to get some input on how others would code this operative note. Thanks in advance. Patient taken to OR. Endotracheal anesthesia obtained without any complication. Prepared in sterile fashion. Put into dorsal lithotomy position. Weighted speculum inserted into the vagina. The cervix...
  7. K

    Wiki C/S with urgent hysterectomy

    My anesthesia doctor did the following: Labor epidural placed for VBAC attempt. Went into a C/S. Then patient started hemorrhaging which required an urgent hysterectomy. CPT 59409/01967 for the labor because the VBAC failed, and 59525/01969, anesthesia for cesarean hysterectomy following...
  8. L

    Code for Revision of Vaginal Cuff, Removal of Knot

    I need help with a code. The doctor states that the patient is post-hysterectomy, and that the vaginal cuff has a knot in it that needs to be removed. The patient's partner can feel the knot left at the surgical site. I was looking for some sort of scar revision code...but nothing is popping...
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