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evacuation of uterus

  1. #1
    Smile evacuation of uterus
    Medical Coding Books
    Our patient had a spontaneous abortion and was scheduled for a D & C, but started passing tissue so surgery was cancelled. Two days later she came into the office, and during the exam the doctor removed some additional tissue with a ring forcep and was sent to pathology. The cervix was already dilated. I can not locate an accurate code for this procedure. I have looked at 58100 but not sure if this is correct. Thanks for any help!!!!

  2. #2
    can you post what the notes state

  3. #3
    Kansas City, MO
    I don't believe that 58100 would be correct. How far along was she and what does the procedure note and pathology say?
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013

  4. #4
    The patient was 10.3 weeks and the report stated exam today revealed a clot w/sml poc in uterus. The path report also stated poc. Thanks!!

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