You Be the Coder :
Laser Conization and Laser Ablation
Published on Fri Oct 09, 2009
Question: My ob-gyn documented the following report: "I brought in the colposcope and articulated with CO2 laser. There was initial laser border burned around the transformation zone. I maintained at 5 mm. Then I used the laser down to the cone of the cervix until I removed the specimen. I performed a cone biopsy at the cervix and tagged it with suture for marking. Then I brought the laser to the vulva. I noted small areas of condyloma to the left and right of the vaginal opening. Then I placed the laser back on the vulvar condyloma and ablated to the proper depth." How should I report this? Arizona Subscriber Answer: To code this procedure correctly, you need to first look at the path report. Make sure part of the endocervix is in the sample (which makes this a conization of the cervix). Also, you should know if the doctor [...]
