AAPC - Back to school
Results 1 to 4 of 4

Thread: General surgeon doing LSO...

  1. #1

    Default General surgeon doing LSO...

    AAPC: Back to School
    My doc is doing an LSO for an ovarian cyst while he is doing an open left colectomy for cancer. I do not normally code OB-GYN, and I see 58720, but this is not a "separate procedure." I do not see any code for the LSO incidental to another procedure.

    Thank you.

  2. #2
    Join Date
    Apr 2007


    I would go with that code. 58940 is the only other thing and that's incorrect since he removed the Fallopian tube as well.

  3. #3


    I feel that along with colectomy code like 44140, reporting one of 49203-49205 would go for ovarian mass. The salpingectomy part would be bundled into this major surgical procedure. I would advice that if it takes more time and work then -22 can be appended.

  4. #4


    I am going to include part of the op note (I didn't want to at first because I did not want to retype it):

    The abdomen was entered. Appropriate retractors were placed. The sigmoid was mobilized using electrocautery, reflecting the sigmoid medially. The ureter was identified early in the procedure and protected throughout this procedure. The bowel was trransected using GIA AutoSuture at about the brim of the pelvis. The bowel was transected proximal to the tumor about 8 inches proximal to the tumor mass. The mesocolon was divided using the Surgilase. Hemostasis was judged complete. The resected specimen was handed off the field. The proximal end of bowel was brought into the pelvis where it was anastomosed side to side with the distal stump of bowel. The residual defect was closed with running 2-0 chromic on the mucosa and then interrupted 3-0 silk on the muscular layers.

    Attention was turned to the upper abdomen where a tiny white granulomatous type plaque was scraped off the left lobe of the liver using a #15 blade scalpel...(so liver biopsy here but not percutaneous)

    The gallbladder was then mobilized for removal....(open chole performed here).

    Prior to closing the abdomen, the left ovarian cyst and fallopian tube were removed using the Surgilase...(this is literally all that is dictated about it). The abdomen was then irrigated......

    So.....I have a left colectomy with anastomosis, open chole, liver biopsy, and LSO. I know the codes for the colectomy and open chole. The liver biopsy is questionable (because it was not a needle biopsy), and the LSO is still up in the air.

Similar Threads

  1. Need a temporary CPC for General Surgeon
    By drsbilling in forum Resume Postings
    Replies: 5
    Last Post: 04-01-2013, 09:50 AM
  2. ER Consult by General Surgeon
    By Thumper72 in forum General Surgery
    Replies: 3
    Last Post: 01-10-2012, 03:51 PM
  3. Intraoperative Help by General Surgeon to a OB/GYN
    By RainyDaze in forum General Surgery
    Replies: 4
    Last Post: 07-29-2011, 10:05 AM
  4. General Surgeon visit during Global-HELP PLEASE
    By AR2728 in forum General Surgery
    Replies: 2
    Last Post: 11-11-2010, 09:17 AM
  5. New Patient Visit w/Referral to General Surgeon
    By AmyLitterell in forum Auditing General Discussion
    Replies: 2
    Last Post: 05-19-2010, 12:31 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?


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.