Wiki vaginal hysterectomy converted to TAH

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cbeste

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Can someone help me out with this scenario? One of our patients was scheduled for a total vaginal hysterectomy which was started, but the MD then converrted the procedure to a total abdominal hysterectomy with bilaeral salpingectomy for a uterus >250 grams. Should I code only for the TAH (58150) or should I also code the vaginal hysterectomy with 58292 with modifier 53 to indicate that it was discontinued? Thanks!
 
Thanks very much for the responses. So would modifier 53 only be used if a procedure was discontinued and another procedure did not occur instead?
 
Yes, if for a medical issue or unexpected problem. You should use the diagnosis V64.41 to indicate that a closed procedure was converted to an open procedure. However, if significant work and time were involved with the original procedure, you could add a 22 modifier to the open procedure.
 
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