DaVinci assisted laparoscopic hysterectomy

vip coder

Saint George, SC
Best answers
Hello everyone...confusion in our facility,

In referencing September 2010 Coding Edge, Pgs 35: assign laparoscopic vaginal hysterectomy (58550-58554) when the uterus is detached abdominally & then delivered vaginally.

But, per Coding Clinic for HCPCS-2nd quarter 2010: assign laparoscopic abdominal hysterectomy (58570-58573) with same scenario.

Could not find any Coding Clinic updates. What are your thoughts?

Thanks, Victoria
58570-58573 are the codes we use.

58570 davinci uterus under 250g
58571 w/removal of tunes and ovaries
58572 uterus over 250g
58573 over 250 w/removal of tubes and ovaries
Using the same Coding Clinic logic for a supracervical hysterectomy, wouldn't we use 58541-58544 if the majority of work was performed thru the laparoscope?

We were thinking the only time we would use 58550-58554 is if the laparoscope was used for visualization during a vaginal hysterectomy.