lorilynn7657
Contributor
I started coding for a Gyn Oncologist. When she performs a 58150 or 58180, many times patients are sent to her due to extensive adhesions. In many cases, a couple of hours is taken lysing adhesions in order to get to the uterus, so the hysterectomy is the easy part of the surgery. I know I can't bill 44005 with 58150 or 58180, but I'm considering billling the higher RVU surgery, 44005 and perhaps a 22 mod on it indicating more of a procedure than LOA. (?) I realize this would not tell the carrier that a hysterectomy was done, so I wonder what other Gyn Onc coders do in this situation.
thanks!
thanks!