Operative report, need help I'm stumped!


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I posted this in the OB/GYN thread but haven't gotten any responses, so I figured I would try here.

I have an operative report for a procedure that my providers did for one of my patient's, and I cannot figure out how to go about coding this one.

PREOPERTIVE DIAGNOSIS: Uterine perforation with hemoperitoneum.

POSTOPERATIVE DIAGNOSIS: Uterine perforation with hemoperitoneum.

DESCRIPTION OF PROCEDURE: Operative laparoscopy with coagulation of bleeding perforation site and evacuation of 600 mL of hemoperitoneum.

The doctor sent me a message regarding the procedure:

Pt was seen for acute abdomen, transfused blood. CT showed hemoperitoneum- active bleed from uterine defect. We did diagnostic laparoscopy (open), evacuated hemoperitoneum, coagulated uterine defect/bleeder, pt left same day in the afternoon.

I thought about possibly using code 59151, but I am not sure that is correct. Any help would be much appreciated!!