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Vaginectomy- bill it or include it in a -22?

  1. Default Vaginectomy- bill it or include it in a -22?
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    So, my surgeon is preforming a radical cystectomy with bilateral pelvic lymph nodes with an ileal conduit, a hysterectomy with bilateral tubes/ovaries, a partial vaginectomy, common iliac and presacral lymph node dissection and a urethrectomy all for 188.9. I'm definately going to report 51595 and 58180 and I was going to append -22 to 51595 for the urethrectomy and extensive lymphadenectomy. But that partial vaginectomy is getting me. On one hand, the surgeon is already in the area, but on the other hand, it doesn't bundle to the other codes I'm going to report. Any thoughts?

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    The reply for this is posted in General Discussion Section at the top. Would you mind looking for it there.Thank you

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