lapro corneal ectopic preg

[Korbc]

Hey guys!

I just wanted to confirm that I'm coding this right.......dr. goes in lapro and then does the following below.......lapro removal of coneal ectopic, partial tissue of uterus and poc are sent to path. i would code a 59150 since lapro no tube removal not 59136 because that's for open only, and maybe append the mod 22 on 59150 for the wedge resection? or that would just be included in the work for 59150?

Suction was performed to clear clot and blood and uterus, fallopian tube, and ovary inspected. Bilateral ovaries within normal limits. Right fallopian tube unremarkable. Left fallopian tube surgically absent. However, cornua with evidence of ruptured ectopic pregnancy with active bleeding. Monopolar electrocautery utilized to make wedge resection of cornua after injection of vasopressin. 0-Vicryl used to place deep sutures at base of resection. 3-0 V lock used to close serosa. Hemostasis noted.

thanks!

 

[nielynco]

Hey guys!

I just wanted to confirm that I'm coding this right.......dr. goes in lapro and then does the following below.......lapro removal of coneal ectopic, partial tissue of uterus and poc are sent to path. i would code a 59150 since lapro no tube removal not 59136 because that's for open only, and maybe append the mod 22 on 59150 for the wedge resection? or that would just be included in the work for 59150?

Suction was performed to clear clot and blood and uterus, fallopian tube, and ovary inspected. Bilateral ovaries within normal limits. Right fallopian tube unremarkable. Left fallopian tube surgically absent. However, cornua with evidence of ruptured ectopic pregnancy with active bleeding. Monopolar electrocautery utilized to make wedge resection of cornua after injection of vasopressin. 0-Vicryl used to place deep sutures at base of resection. 3-0 V lock used to close serosa. Hemostasis noted.

thanks!

Here is the intraservice work description for code 59150 reported when the code was added to CPT: The manipulator is applied, with possible dilatation of the cervical canal. Skin incisions are made. A pneumoperitoneum is created. Trocars and instruments are inserted. Endoscopic inspection and evaluation of the abdomen and pelvis are performed. The hemoperitoneum is evacuated. The ectopic pregnancy is excised and removed (any method). Hemostasis is achieved. Carbon dioxide gas is released, and all instruments and the laparoscope are removed. The wound is closed. Local anesthesia is injected.

Note that the description says ectopic is removed/excised by any method, so the wedge resection would qualify as one of the methods and not reported separately.