kvannieuwenhuyse
New
Patient comes in for cervical bleeding. Dr. performs a cervical cerclage, surgical suture placement and ligation of the cervical branches of the uterine arteries.
Operative report states:
The anterior lip of the cervix was grasped with a single tooth tenaculum. A Covidien Polysorb 3-0 were used on a UR 46 was used to make a circumfrential suture line around the margin of the cut edge of the cervix, this was done in a running lock fashion. Bilateral sutures were also placed more superior along the cervix at the 3 o'clock and 9 o'clock respectively. There continued to be some oozing from the cervix at this point so I placed a cerclage in the McDonald fashion using an asorable suture. There was still a small amout of oozing from the right side of the cervix and so the 3-0 absorable were used to create a running lock stitch on the right hand portion of the cervix. Two more figure of eights were placed and then the cauetery was used to control a small portion of the microvascular bleeding. There was complete hemostasis at this point.
I have CPT 57700 for the cerclage but I am having trouble coding the procedure for the suture placement and the ligation of the cervical branches of the uterine arteries. Any help would be greatly appreciated.
Thanks,
Kerry
Operative report states:
The anterior lip of the cervix was grasped with a single tooth tenaculum. A Covidien Polysorb 3-0 were used on a UR 46 was used to make a circumfrential suture line around the margin of the cut edge of the cervix, this was done in a running lock fashion. Bilateral sutures were also placed more superior along the cervix at the 3 o'clock and 9 o'clock respectively. There continued to be some oozing from the cervix at this point so I placed a cerclage in the McDonald fashion using an asorable suture. There was still a small amout of oozing from the right side of the cervix and so the 3-0 absorable were used to create a running lock stitch on the right hand portion of the cervix. Two more figure of eights were placed and then the cauetery was used to control a small portion of the microvascular bleeding. There was complete hemostasis at this point.
I have CPT 57700 for the cerclage but I am having trouble coding the procedure for the suture placement and the ligation of the cervical branches of the uterine arteries. Any help would be greatly appreciated.
Thanks,
Kerry