Ob-Gyn Coding Alert

You Be the Coder:

D&C and Attempted Hysteroscopy

Question: My ob-gyn documented the following:
“Dilation and curettage, attempted hysteroscopy. dx: post menopausal bleeding and stress incontinence. Weighted speculum was placed into vagina. Sims retractor used. Cervix was grasped. Cervical Dilation was then attempted utilizing cervical dilators. Due to Cervical Stenosis could not be completed. Hysteroscope was attempted. That failed so surgeon opted for sharp curettage. Endometrial [...]
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