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Thread: Total Lap Hyst any suggestions for coding

  1. #1

    Default Total Lap Hyst any suggestions for coding

    AAPC: Back to School
    My providers recently began to do a true Total Laparoscopic Hyst. I believe for a uterus under 250 grams the procedure code should be 58550 but the doctors disagree. What procedure code would you use?
    Thanks for your input,

  2. #2
    Join Date
    Apr 2007


    That is what we code, just a plain lavh without bso, correct?

  3. #3


    I use code 58578, the unlisted code. In 2008 there will be codes for what they are doing.

  4. #4
    Join Date
    Apr 2007
    Tacoma, WA


    ACOG suggested using either 58550 with a modifier 52 or using an unlsted code. And yes there are new codes for 2008 for this procedure.

  5. #5
    Join Date
    Apr 2007
    Orlando Student Florida

    Smile Total laparoscopic hysterectomy

    Quote Originally Posted by chrisali View Post
    I use code 58578, the unlisted code. In 2008 there will be codes for what they are doing.
    I too have a provider who will performing this procedure and was stumped for a code in 2007. Question, when you use the unlisted CPT and submit an op-report with it, do you get a proper reimbursement?

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