Wiki Vag Hyst converted to TAH

[kellyg]

What is the appropriate coding for an attempted Vaginal Hysterectomy(not laparoscopic) converted to a Total Abdominal Hysterectomy?

 

[magnolia1]

Just code the Total Abdominal Hysterectomy

 

[magnolia1]

Naturally, your dx code would be the reason they were going to have the original procedure.

 

[valleyobgynut]

If your provider spent a good amount of time trying to do the vag hyst before he changed to the TAH I would add mod 22 and send claim with op notes. If your provider documented the amount of time he spent attempting the vag hyst they should pay a little extra on the TAH.