I too lean for the 58548- 52 because it is laproscopic and open procedure cannot be coded in place of lapro. It is a lapro surgery less of uterus (and cervix)
and hence can fit for reduced service with laproscopy.
49321 can be reported, as per my openion, because it is not a component for the procedure. I would rather name it as an accidental to the procedure ( an anticipated complication which was unavoidable). It is a distinct and significant procedure on to a different organ, though the site of incision and the session are the same.
So I feel that 49321-59 is qualified with the support of a ICD-9 CM 867.1 and an E code E870.0 ,showing accidental injury during the time of surgery.
For the main primary code ,how did you arrive at those insitu code; do you have the path report?
Was the cervix left behind during the previous hysterectomy for the doctor to code endocervix malignancy code? The picture is not clear.
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