Reader Question:
Vaginal Hysterectomy
Published on Thu Dec 20, 2012
Question: We coded a vaginal hysterectomy with MMK as 58267 (vaginal hysterectomy; with colpo-urethrocystopexy [Marshall-Marchetti-Krantz type, Pereyra type, with or without endoscopic control]) and a 57240 (anterior colporrhaphy, repair of cystocele with or without repair of urethrocele) and received far less reimbursement than we anticipated. My doctor suggested that I break up the vaginal hysterectomy and the MMK procedure, but since there is a code for the combined procedure, I am afraid that we may get even less payment if they deny one of the two codes. I coded 58267-22 for vaginal hysterectomy with MMK procedure, with the modifier for unusual procedural services, and this is what he wants to bill out separately.
Bobby Meyers, Office Manager
Robert T. Byington, MD, Lincoln, Neb.
Answer: When coding procedures, you need to be aware of the rules that surround correct coding because payers are looking [...]
