Ob-Gyn Coding Alert
Count Hemostasis As Part of Procedure
Question: Patient is one day post-op for 58548 (Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling [biopsy], with removal of tube[s] and ovary[s], if performed). Then the ob-gyn went back in for an intraperitoneal hematoma. He performed a laparoscopic evacuation of hematoma and exploration for bleeding vessels, with coagulation and vascular clips applied. I am billing 49322 for the hematoma and 49329 for cautery and clips. Are there more applicable CPT® codes for this? Texas Subscriber Answer: You should only be billing 49322 (Laparoscopy, surgical; with aspiration of cavity or cyst [eg, ovarian cyst] [single or multiple]). You should not report a code for the hemostasis, because it is now part of the procedure.
Related Articles
Ob-Gyn Coding Alert
- CPT® 2018 Update:
Focus on 5 CPT® 2018 Features to Fortify Your Future Ob-Gyn Claims
Again, you need to update how you report flu vaccines. Although CPT® 2018 doesn't bring [...] - Coding Quiz:
Elevate Your E/M Coding Expertise By Tackling These 2 Ob-Gyn Scenarios
Higher level E/M codes means more intense documentation requirements. Before you apply a high-level new [...] - MPFS 2018:
MPFS Targets Telehealth Coding Next Year
Follow proposed Physician Fee Schedule insights for these services. You should expect expanded coverage for [...] - Coding Quiz Answers:
Advance Your E/M Skills by Putting Your Answers to the Test
Check out these three options for Scenario 2. After you've read the scenarios carefully on [...] - You Be the Coder:
Surgical Complication Means Appending This Modifier
Question: My ob-gyn had a weekend call. Patient had a laparoscopic supracervical hysterectomy (58541) by a [...] - Reader Question:
Count Hemostasis As Part of Procedure
Question: Patient is one day post-op for 58548 (Laparoscopy, surgical, with radical hysterectomy, with bilateral total [...] - Reader Question:
Yes, You Do Need to Think in ICD-10 Codes
Question: I've never really gotten comfortable with ICD-10 and often find myself coding ICD-9 in my [...] - Reader Question:
Broken Toes Don't Mean Pregnancy Complications
Question: My ob-gyn saw a pregnant patient who broke her toe. What diagnosis should I use? [...]
