Results 1 to 2 of 2

LAVH w/Laparoscopic Lymphadenectomy

  1. #1
    Location
    Kansas City, MO
    Posts
    751
    Question LAVH w/Laparoscopic Lymphadenectomy
    Medical Coding Books
    I am reviewing a surgery for one of our providers that was denied. The codes billed out by the office are,

    58552 and 38770-51

    Now, in looking at the note, the lymphadenectomy was done laparoscopicly as well. Based on the Coders Desk Reference the 38770 is not a laparoscopic procedure. I have looked at the codes in the 38570-38589 range and this is what the surgeon did:

    The left external, internal, and obturator lymph nodes were removed, as a single specimen will be labeled as left pelvic lymph node similarly on the right side. Then it describes the removal and then they desufflated the pressure to 7 to check for bleeding. . .

    None of the nodes were biopsied, they were simply removed. This is not my strong area and none of these codes seem to be a good fit. What would you do?

    Thanks,
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013
    angela@medicalrevenuesolutions.com

  2. #2
    Default
    if the procedure is via laparoscopy you should use 38571 or 38572, if they were removed there should be specified in the pathology reporting as well.
    Hope this helps
    L.Ivonne Garcia CPC
    Tucson,AZ

Similar Threads

  1. Replies: 0
    Last Post: 08-31-2015, 03:50 PM
  2. Lavh
    By bev519 in forum OB/GYN
    Replies: 2
    Last Post: 04-01-2015, 11:58 AM
  3. LAVH+Cervix
    By amyj.howe in forum OB/GYN
    Replies: 5
    Last Post: 07-26-2012, 08:50 AM
  4. TLH vs LAVH
    By esmadigan in forum OB/GYN
    Replies: 2
    Last Post: 08-16-2011, 03:24 PM
  5. Abdominal lymphadenectomy with laparoscopic colectomy
    By jbrewer in forum General Surgery
    Replies: 0
    Last Post: 09-29-2010, 12:47 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.