Results 1 to 5 of 5

TRACHELECTOMY (cervix) W/ TUBES AND OVARIES ??

  1. #1
    Question TRACHELECTOMY (cervix) W/ TUBES AND OVARIES ??
    Medical Coding Books
    CPT lists Uterus, w/ or w/out tubes and ovaries, however, what if the cervix is removed only & placed in one conatiner & Rt ovary & tube/Lt ovary & tube are removed and placed in seperate containers.. Are they bundled w/ cervix specimen= one single charge of 88307( uterus, other than neoplastic) ?


    I would appreciate any help on this topic! Thank you!

  2. #2
    Location
    Albany, New York
    Posts
    457
    Default
    Hello......

    Pathology is not my coding arena.
    But.......I am thinking that you should be able to code for each "separate" specimen that
    is received for evaluation.
    Karen Maloney, CPC
    Data Quality Specialist

  3. #3
    Default
    I asked because the cervix is part of the Uterus, and CPT bundles tubes and ovaries with that primary specimen.

    Thank you Karen for your help-

  4. #4
    Default
    An excised cervix is an unlisted specimen in CPT. It is not equivalent to an entire uterus. I would code these as three separate specimens since the pathologist is asked to perform unique, stand-alone examinations to render independent diagnoses around the body of the uterus itself.

    An excised, non-neoplastic cervix can reasonably be considered equivalent to a cone biopsy based on average pathologist work involved. I'm comfortable with 88307 for the cervix and appropriate codes for the ovaries.

    It's these oddball situations that make surgical pathology coding interesting.

    Best,
    WK
    http://pathcoder.blogspot.com

  5. #5
    Default
    That's what I thought, I left the cervix a 88307 equivalent to a conization, and seperately coded the ovaries- it was a very interesting case,
    Thank you WK

Similar Threads

  1. Polycystic ovaries, no diagnosis of PCOS
    By pedscoder21 in forum ICD-10
    Replies: 0
    Last Post: 11-17-2015, 09:33 AM
  2. Robotic Trachelectomy
    By Brenda Ray in forum OB/GYN
    Replies: 0
    Last Post: 07-10-2014, 12:58 PM
  3. Laparosopic Trachelectomy
    By zerry1 in forum OB/GYN
    Replies: 4
    Last Post: 12-30-2011, 02:44 PM
  4. abdominal trachelectomy
    By sjimenez in forum OB/GYN
    Replies: 0
    Last Post: 04-02-2009, 06:05 AM
  5. Prophylactic Removal of Ovaries
    By SUEV in forum General Surgery
    Replies: 1
    Last Post: 03-05-2009, 06:40 AM

Tags for this Thread

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.