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code for resection of uterine horn

  1. #1
    Default code for resection of uterine horn
    Medical Coding Books
    My dr. had a woman w/15-16 wk fetal demise in the left nondominant uterine horn. (bicornuate uterus). The procedures are:

    Explo laparotomy, left uterine horn resection w/removal of fetal demise.

    She failed induction, so the surgery was performed.

    I've looked at every possible code, but nothing fits except possibly 58540, but that's not quite it either. Plus w/removal of the fetal demise and resection, I just don't know.

    Can anyone help me???

  2. #2
    Default Code for resection of uterine horn
    For the treatment of the fetal demise - I would use 59100 - Hysterotomy, abdominal. Description of the code includes removal of products of conception.
    Not sure about the procedure he performed on the bicornate uterus - suggest you review the OP note and speak with the MD - possibly 58540. If both are used, you need to list the highest RVU first and may need modifiers on the additional surgery.
    Helen Swift

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