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Help - salpingo oophorectomy

  1. #1
    Default Help - salpingo oophorectomy
    Medical Coding Books
    I have two questions.


    How would you code these statements on a fee ticket.

    1) exploratory laparotomy with right salpingo oophorectomy

    2) exploratory laparotomy left & right oophorectomy



    still new to obgyn. I got cpt 59120

  2. Default
    To code correctly, you need to know why they are doing exploration and what the findings were that led to the removal of the ovaries and tubes. 59120 is for treatment of ectopic pregnancy so unless ectopic pregnancy is the diagnosis, it is probably not the code you are looking for. Look at code 58661 - Laparoscopy, surgical; with removal of adnexal structures. Hope that helps. Good luck!

  3. #3
    Location
    Kansas City, MO
    Posts
    751
    Default
    Yes, it is necessary to know the diagnosis to accurately code this scenario. However, you state that a laparotomy was done, which is an open procedure and not a scope. I believe as long as this wasn't for an ectopic, the code you need to start with is 58940 - Oophorectomy, partial or total, unilateral or bilateral.
    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

  4. #4
    Default
    Thank You, to all who responded.

    Daniel CPC

  5. #5
    Default Help
    I think it's this
    58661-RT
    58940-59
    Rachele Porter, AS, CPC, CPC-H, CEDC
    no weapons formed against me shall prosper

  6. #6
    Default
    Iagree with angela. If this is for an eptopic it and an adominal(lapartomy) approach it would be 59120 but not for an eptopic it wouldbe the 58940.

  7. Smile jen
    was needing some help with these procedures Diagnostic laparaoscopy, laprarotomy with right salpingo-oophorectomy.

  8. Default
    Quote Originally Posted by amjordan View Post
    Yes, it is necessary to know the diagnosis to accurately code this scenario. However, you state that a laparotomy was done, which is an open procedure and not a scope. I believe as long as this wasn't for an ectopic, the code you need to start with is 58940 - Oophorectomy, partial or total, unilateral or bilateral.
    Dear Angela,

    I am not a certified coder, so I'm reaching out. Referencing the question about Exploratory Laparotomy with Left Salpingo-oophorectomy. The reason for the Exploratory Laparotomy was due to fever of unkown origin and pelvic pain. Upon exploration, patient was found to have a pelvic mass (pelvic abscess) for which a left salpingo-oophorectomy was performed. So, wouldn't this be coded as 49000-22 (it was a mess in there) at No Charge and 58720 Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure) with the charge?
    Last edited by DCOMEDY1; 07-19-2013 at 06:50 AM. Reason: Missed "0" in cpt 49000

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