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Surgery coding help

  1. #1
    Default Surgery coding help
    Medical Coding Books
    I have an op note where a physician performs a Hysteroscopy resection of submucosal fibroids then due to excessive bleeding the physician had to perform a TAHBSO. The physician clearly documents that we had completed the resection of the fibroids without difficulty and instantaneously, a large amount of heaving bleeding was noted, attemptes made to control bleeding unsuccessful and elected to proceed with TAHBSO.

    Does anyone have any advice on how to code this procedure?
    I was thinking: 58150
    58561-51 or 59

    Thanks in advance,
    Dawn Smith, CPC

  2. #2
    I believe that since the TAHBSO was a complication to the proposed surgery that it is considered incidental. I could be wrong though. I'd like to hear from others on this as well.

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