Laparotomy

amjordan

True Blue
Messages
751
Location
Blue Springs, MO
Best answers
0
Physician performed an exploratory laparotomy, pelvic washings, excision
of vaginal cuff mass (focal fibrous scarring with small amounts of
non-refractile foreign material present), omental mass (focal
interstitial hemorrhage and focal subserosal fibrosis), right pelvic
sidewall cyst (hemorrhagic cyst with hemosiderine and fibrosis),
anterior pelvic wall cyst (granuloma to old refractile suture material).
There was also extensive lysis of adhesions due to previous surgeries.

My first thought was 49203 but I'm not entirely comfortable with it based on the pathology. Then there is the vaginal cuff mass. Any opinions welcome.
 

garcia06

Networker
Local Chapter Officer
Messages
60
Location
Rio Rico, AZ
Best answers
0
To bill 49203 you need to have the size of the mass or tumor as these sets of codes explain.

L.Ivonne Garcia CPC
TUcson, AZ
 
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