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vaginal hysterectomy converted to TAH

  1. #1
    Location
    Albuquerque
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    27
    Default vaginal hysterectomy converted to TAH
    Medical Coding Books
    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!

  2. #2
    Location
    Columbia, MO
    Posts
    12,910
    Default
    You code only the procedure that was completed.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
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    You would only code the TAH.

    Terri Winsor, CPC, CCC

  4. #4
    Location
    Albuquerque
    Posts
    27
    Default
    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?

  5. #5
    Default
    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.
    Anastasia, CPC, CASCC, COBGC

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