Results 1 to 2 of 2

Lft oophorectomy via laparotomy

  1. #1
    Default Lft oophorectomy via laparotomy
    Medical Coding Books
    I'm newer to the OB field and my doctor did several procedures. Please help and tell me how you would code?
    procedure is lft oophorectomy via laparotomy/ repair of 6 x 3 ventral hernia superior to the umbilicus and also a repair of 4 cm umbilical hernia/ and adominoplasty. Dx is left dermmoid cyst, ventral hernia and Pannus.

    Same doctor another pt and procedure: (at 16 weeks)
    Dr. did a misoprostol induction for vaginal delivery, no D & C and baby was fetal demise at 16 weeks. Done at hospital and the insurance is Medicaid. Not sure if can code 59855 and the delivery charge?

    Thank you so much,
    Hgonzales

    Haven't heard a response, please can someone help because I have a deadline and no where else to turn. Thx
    Last edited by hgonzales; 05-02-2010 at 08:16 PM. Reason: requesting help, have time limit.

  2. #2
    Location
    Salt Lake city
    Posts
    35
    Default
    Quote Originally Posted by hgonzales View Post
    I'm newer to the OB field and my doctor did several procedures. Please help and tell me how you would code?
    procedure is lft oophorectomy via laparotomy/ repair of 6 x 3 ventral hernia superior to the umbilicus and also a repair of 4 cm umbilical hernia/ and adominoplasty. Dx is left dermmoid cyst, ventral hernia and Pannus.

    Same doctor another pt and procedure: (at 16 weeks)
    Dr. did a misoprostol induction for vaginal delivery, no D & C and baby was fetal demise at 16 weeks. Done at hospital and the insurance is Medicaid. Not sure if can code 59855 and the delivery charge?

    Thank you so much,
    Hgonzales

    Haven't heard a response, please can someone help because I have a deadline and no where else to turn. Thx
    I hope i'm not to late but I will give my suggestion just in case. I would bill 59840 for the laparotomy then look at codes 49585 or 45587 for the ventral hernia with a 59 mod. then look at 49560 and 49561 for the umbilical hernia with a mod 51. For the abdominoplasty look at 15830. DX 220 for the cyst and 553.20 for the hernia repair. I bill laparotomies all the time but I am not as familiar with the hernia repairs. I hope this helps. I think you are right on the fetal demise
    Last edited by valleyobgynut; 05-12-2010 at 08:04 PM.

Similar Threads

  1. Laparotomy and Left Oophorectomy
    By 0913@70 in forum OB/GYN
    Replies: 2
    Last Post: 01-11-2013, 09:54 AM
  2. ELEVATED LFT's DX?
    By tarab524 in forum Diagnosis Coding
    Replies: 12
    Last Post: 11-12-2012, 06:08 PM
  3. elevated LFT
    By weina in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 06-30-2010, 12:00 PM
  4. Wiki salpingo-oophorectomy left, oophorectomy right
    By Alta in forum OB/GYN
    Replies: 1
    Last Post: 12-28-2009, 11:51 AM

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.