Can someone please clarify the difference between these two codes? The descriptions are the uterus delivered through the vagina vs morcellization and removal. For the following scenario I code 58552 or 58554 but the facility uses 58571. It is definitely laparoscopic.
IP ligaments were clamped, cauterized, and transected using the vessel sealer. This was extended thru the mesosalpinx and mesoovarium. Next, the round ligaments were sequentially clamped, cauterized, and transected, again using the vessel sealer. This was carried down through the broad ligament to the level of the bladder reflection, the avascular plane of the bladder flap was developed, deflecting the bladder inferiorly out of harm's way. The uterine arteries were clamped with the bipolar cautery and cauterized. These were cut using monopolar scissors. Next using monopolar cautery, the posterior cul-de-sac was entered over the uterine manipulating device. The uterosacral ligaments and the cardinal ligaments were then sequentially clamped, cauterized, and transected. The specimen was detached from the cervicovaginal junction and was delivered into the vagina. The pelvis was irrigated. ..........
I always look for "delivered into vagina" versus being morcellized and delivered from the abdomen.
Thanks!
IP ligaments were clamped, cauterized, and transected using the vessel sealer. This was extended thru the mesosalpinx and mesoovarium. Next, the round ligaments were sequentially clamped, cauterized, and transected, again using the vessel sealer. This was carried down through the broad ligament to the level of the bladder reflection, the avascular plane of the bladder flap was developed, deflecting the bladder inferiorly out of harm's way. The uterine arteries were clamped with the bipolar cautery and cauterized. These were cut using monopolar scissors. Next using monopolar cautery, the posterior cul-de-sac was entered over the uterine manipulating device. The uterosacral ligaments and the cardinal ligaments were then sequentially clamped, cauterized, and transected. The specimen was detached from the cervicovaginal junction and was delivered into the vagina. The pelvis was irrigated. ..........
I always look for "delivered into vagina" versus being morcellized and delivered from the abdomen.
Thanks!