Wiki CPT help with Operative report....I'm stumped

[kparker1980]

I have an operative report for a procedure that my providers did for one of my patient's, and I cannot figure out how to go about coding this one.

PREOPERTIVE DIAGNOSIS: Uterine perforation with hemoperitoneum.

POSTOPERATIVE DIAGNOSIS: Uterine perforation with hemoperitoneum.

DESCRIPTION OF PROCEDURE: Operative laparoscopy with coagulation of bleeding perforation site and evacuation of 600 mL of hemoperitoneum.

The doctor sent me a message regarding the procedure:

Pt was seen for acute abdomen, transfused blood. CT showed hemoperitoneum- active bleed from uterine defect. We did diagnostic laparoscopy (open), evacuated hemoperitoneum, coagulated uterine defect/bleeder, pt left same day in the afternoon.

I thought about possibly using code 59151, but I am not sure that is correct. Any help would be much appreciated!!

 

[tvaughn]

Hi, I am curious as to what code you used?

 

[tracylc10]

I definitely would not code a 59151, unless it was stated that this was an ectopic pregnancy. I was looking at 49322. Not sure that this would be correct either, but I think it is more appropriate. All depends on how the fluid was removed.