meli990618@gmail.com
Contributor
Hellooo, I will need some advice to code this procedure, I'm going to resume it 
Case description: Exploratory laparotomy, right uterine artery ligation, evacuation of hemoperitoneum, re-exploration of abdomen and pelvis 9/20/25 Postpartum hemorrhage.
Procedure description: Pt was taken to the operating room. An incision was made along the previous scar line, opening the suture. Attention was turned to the right side of the uterus that contained s 4-5 cm right broad ligament hematoma. A #1 Monocryl was used to ligate the right uterine artery along the right side of the uterus, providing excellent hemostasis. Asilver impregnated bandage was placed on the incision. A pressure dressing was placed over this. At the conclusion of the case, uterine massage was performed and a very little vaginal bleeding was noted. When the pt was being moved to the stretcher, I noticed that her pressure dressing was completely saturated. During this time, she became hypotensive. Considering the bleeding and the hypotension, I made the decision to explore her incision, and a possible exploratory laparotomy. The pt was moved to the operating room, reintubated, and the room was reset.
Her abdomen was reopened. An incision was made along the previous scar line, opening the suture. The pelvis was meticulously inspected at the rectus muscles, fascia, peritoneum, vesicouterine per. and bladder, uterus, uterine incisions- all w/ excellent hemostasis and uterine tone. No suggestion of retroperitoneal hematoma. the patient's vitals were normal and stable. The pt tolerated the procedure well and was taken to the intensive care unit in stable condition.
My thoughts are in billing 49000 and 37617, but then should I bill 49000 under the same claim??? w/ a mod 76 or 78??? Please if somebody could give me some advice. Thanks in advance!!!
Case description: Exploratory laparotomy, right uterine artery ligation, evacuation of hemoperitoneum, re-exploration of abdomen and pelvis 9/20/25 Postpartum hemorrhage.
Procedure description: Pt was taken to the operating room. An incision was made along the previous scar line, opening the suture. Attention was turned to the right side of the uterus that contained s 4-5 cm right broad ligament hematoma. A #1 Monocryl was used to ligate the right uterine artery along the right side of the uterus, providing excellent hemostasis. Asilver impregnated bandage was placed on the incision. A pressure dressing was placed over this. At the conclusion of the case, uterine massage was performed and a very little vaginal bleeding was noted. When the pt was being moved to the stretcher, I noticed that her pressure dressing was completely saturated. During this time, she became hypotensive. Considering the bleeding and the hypotension, I made the decision to explore her incision, and a possible exploratory laparotomy. The pt was moved to the operating room, reintubated, and the room was reset.
Her abdomen was reopened. An incision was made along the previous scar line, opening the suture. The pelvis was meticulously inspected at the rectus muscles, fascia, peritoneum, vesicouterine per. and bladder, uterus, uterine incisions- all w/ excellent hemostasis and uterine tone. No suggestion of retroperitoneal hematoma. the patient's vitals were normal and stable. The pt tolerated the procedure well and was taken to the intensive care unit in stable condition.
My thoughts are in billing 49000 and 37617, but then should I bill 49000 under the same claim??? w/ a mod 76 or 78??? Please if somebody could give me some advice. Thanks in advance!!!
