Wiki Total Lap Hyst any suggestions for coding

[AngieG]

My providers recently began to do a true Total Laparoscopic Hyst. I believe for a uterus under 250 grams the procedure code should be 58550 but the doctors disagree. What procedure code would you use?
Thanks for your input,
Angie

 

[bremo]

That is what we code, just a plain lavh without bso, correct?

 

[chrisali]

I use code 58578, the unlisted code. In 2008 there will be codes for what they are doing.

 

[ajs]

ACOG suggested using either 58550 with a modifier 52 or using an unlsted code. And yes there are new codes for 2008 for this procedure.

 

[lromero]

Total laparoscopic hysterectomy

I use code 58578, the unlisted code. In 2008 there will be codes for what they are doing.

I too have a provider who will performing this procedure and was stumped for a code in 2007. Question, when you use the unlisted CPT and submit an op-report with it, do you get a proper reimbursement?

Thanks
Lisa
email:Lisa.DeMichael@scrmc.hma.org
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