Wiki 5 procedure surgery/diagnoses with TVH

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davesherrie

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I could really use some help from you experienced OB/GYN surgery coders on this one. I have a patient that had a laparoscopic total vaginal hysterectomy, anterior colporrhaphy, monarch sling, cystoscopy, and perineoplasty done at the same surgery. I have more than 4 diagnoses that need to fit on the HCFA form. Plus, is the perineoplasty included in one of these surgeries? I believe that the cystoscopy is not going to be charged for since the Dr. was checking on the bladder after performing the colporrhaphy. What do I do to report all of these? And what codes and modifiers would you use?
 
If you are filing electronic you should have the ability to list 12 dx codes that is the 5010 transaction capability as revised Jan 1 2012. The new 1500 form has not yet been implemented so you still only have 4 on the paper form, however the new one will give you 12.
So the big question is are filing paper or electronic.
 
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