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Ob-Gyn Coding Alert

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Vaginal Cuff Repair via Abdominal Approach

Published on Wed Aug 12, 2009

Question: My ob-gyn did a surgical exploration of the abdomen with re-suturing of both the vaginal cuff and ovarian pedicles. He also did a re-peritonealization of the abdominal wall. In a recent Ob-Gyn Coding Alert issue, I learned to use 12020 and 57200 for a repair of vaginal cuff. According to my ob-gyns op report, however, the ob-gyn used an abdominal approach. He states, I prepped and draped the abdomen. I took out old staples, carefully inspected the incision, and opened the fascia. There was no evidence of bleeding from the muscles. Then I opened the peritoneum and explored the abdominal cavity. There were approximately three units of old clotted blood in the pelvic cavity. This was then evacuated. There appeared to be some oozing from the bladder flap peritoneum. I then decided to re-sew the vaginal cuff, which had staples prior. I placed approximately 6-8 figure-of-eight sutures across the [...]
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