Question: I-m trying to code a "total vaginal hysterectomy." What should I report?
California Subscriber
Answer: Careful. You have to read the op report to get the details. Ask these questions: How much did the uterus weigh? (Your path report will include this information.) Did the doctor document the removal of the tubes and ovaries?
Remember: You-ll see that the doctor transected the infundibulopelvic ligament (sometimes called "IP ligament") if he performs a BSO.
Once you have that information, look at the available codes:
- 58260 -- Vaginal hysterectomy, for uterus 250 grams or less
- 58262 -- - with removal of tube(s), and/or ovary(s)
- 58290 -- Vaginal hysterectomy, for uterus greater than 250 grams
- 58291 -- - with removal of tube(s) and/or ovary(s).