Kelly_Mayumi
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So, my surgeon is preforming a radical cystectomy with bilateral pelvic lymph nodes with an ileal conduit, a hysterectomy with bilateral tubes/ovaries (and cervix), a partial vaginectomy, common iliac and presacral lymph node dissection and a urethrectomy all for bladder cancer. I'm definately going to report 51595 and 58180 and I was going to append -22 to 51595 for the urethrectomy and extensive lymphadenectomy. But that partial vaginectomy is getting me. On one hand, the surgeon is already in the area, but on the other hand, it doesn't bundle to the other codes I'm going to report. Any thoughts?
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