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Wiki Perforated IUD

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tondan777

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They took a patient in a for operative Laparoscopy to remove an IUD? What is the best CPT code to use. The IUD Perforated.
 
It is perforated and into the abdominal cavity into the peritoneum. it is no longer an object of the uterus. I would have a set of option for this situation.
1) 49329- unlisted laparoscopic procedure; abdomen, peritoneum and omentum.
2) 49402- because I would consider this as a foreign body in the peritoneal cavity and the removal.
3)58660- if encased and adhesiolysis needed.
However I feel that we need more info from the operative notes about the place it was embedded to be more specific with the code .
Thank you
 
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