Ob-Gyn Coding Alert
Here's Why To Consider Cautery Incidental
Question: My ob-gyn documented the following: “Patient had surgery for pelvic pain, evidence of hemoperitoneum, and probable ruptured ovarian cyst. Findings of 150 ml of hemoperitoneum evacuated and small defect in right ovarian capsule with scant bleeding present. Per detailed procedure, no other bleeding areas noted except for a small defect in the ovarian capsule controlled easily with cautery. Hemoperitoneum evacuated.”vShould I code this with 49322? Does this include the repair of small defect? Illinois Subscriber Answer: Yes, you should report 49322 (Laparoscopy, surgical; with aspiration of cavity or cyst [eg, ovarian cyst] [single or multiple]) for this. You should consider the cautery as incidental.
Related Articles
Ob-Gyn Coding Alert
- Obstetrics:
Does Your Pregnant Patient Have New Insurance? Here's What to Do
Key: You should count the number of visits before proceeding. Open enrollment means that you [...] - Documentation:
Draw the Line between 'Brief' and 'Extended' HPI
Test your HPI know-how with these two scenarios. Your task: clean up your practice’s E/M [...] - Gynecology:
Keep Modifier 78 Handy for Your Vaginal Cuff Repair Claims
Ask, was this part of a staged procedure or another reason? To select the appropriate [...] - You Be the Coder:
Uterine Replacement Related to Delivery
Question: The patient delivered vaginally (59400) and then had a complication, which required a uterine [...] - Reader Question:
Here's Why To Consider Cautery Incidental
Question: My ob-gyn documented the following: “Patient had surgery for pelvic pain, evidence of hemoperitoneum, [...] - Reader Question:
High BP Reading May Affect Global Service
Question: We have a patient pregnant with twins whose BP readings at her second prenatal [...] - Reader Question:
Dig Into These Initial, Follow-Up Ultrasound Codes
Question: What is the CPT® code for initial anatomy ultrasound at 15 weeks gestation and [...] - Reader Question:
Avoid Reporting Mental Problem Diagnoses
Question: What is the difference between R68.82 and F52.0? New York Subscriber Answer: The difference [...] - Reader Question:
Check Out This Laparoscopic Removal With Hysteroscopy Scenario
Question: Please confirm if I can use CPT® 49329 for “laparoscopic removal of an intraabdominal [...] - Reader Question:
Learn How to Determine E/M Level
Question: We have a new patient who is deaf, and her family member came to [...] - Reader Question:
Apply Modifiers to Incomplete Abortion Scenario
Question: A patient came to the hospital with pelvic pressure and pain at 18 weeks. [...]
