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Ovarian/tube sx

  1. #1
    Default Ovarian/tube sx
    Medical Coding Books
    I need help w/ the following.
    Combined vaginal abdominal procedure, laparoscope approach. She had an Ovarian cyst that was opened and drained and had left tubal and ovarian torsion, which was untorsed. I was looking at 58805 for the cyst drainage but I can find anything for the untorsed ovary/tube. Any thoughts are greatly appreciately.
    adrianne, cpc

  2. #2
    I believe 58805 is an open procedure, not laparoscopic. 49322 is laparoscopy with aspiration of ovarian cyst. What was done vaginally?

  3. #3
    I see the difference w/ the different code. Thanks for that.

    The description of the procedure is: Diagnostic laparoscopy for reversal of left tubal torsion, shortening of suture ligature of the uteroovarian ligament on the left and drainage of several simple cysts of the left ovary.
    I don't see anything specifically documented about it being vaginal except inthe beginning it states draped in usual manner for combined vaginal abdominal procedure...this is my confusion.
    adrianne, cpc

  4. #4
    I would check with the physician to ask if a vaginal procedure was also performed.

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