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Ob-Gyn Coding Alert

READER QUESTIONS:

How to Report a Partial Lap Omenectomy

Published on Wed Jun 17, 2009

Question: Our ob-gyn's patient underwent a laparoscopic assisted transvaginal hysterectomy (LAVH) and a partial laparoscopic omenectomy. What code should I report? New Mexico Subscriber Answer: You have no code for a laparoscopic omentectomy -- partial or total. Option 1: One option is to use an unlisted procedure code (49329, Unlisted laparoscopy procedure, abdomen,peritoneum and omentum). Both CPT and CMS guidelines specifically instruct providers to use an unlisted procedure code when no available code describes the specific procedure your ob-gyn performs. CPT 2009, for instance, states, -A service or procedure may be provided that is not listed in this edition of the CPT codebook. When reporting such a service, the appropriate -Unlisted Procedure- code may be used to indicate the service ...- More specifically, proper coding practice dictates that if the ob-gyn performs a laparoscopic procedure and there is no laparoscopic code, you should use the unlisted procedure code for that body [...]
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