Wiki Hyst after c/s

[tracylc10]

Hysterectomy after C-section.

This one is a little confusing.....

My provider only assisted with the hysterectomy after the C-section, he did not assist with the C-section. I have been told to use the add on code 59525, but I am not sure this will work. What they said was to go ahead and send a "dirty" claim with the code 59525 and once we get the denial, we would send all the op notes.

Is this the correct way to code this? Should I use modifier 78 as well.

Any insight on this would be much appreciated.

I have also called the primary surgeons office to see how they coded it, since our codes should match theirs..

 

[sujaya101]

I would bill 58150 with mod 80 for asst surgeon. You can't bill an add on code as the primary CPT which will be denied anyways. If 58150 is denied as its not matching the primary physician's cpt, you would have to appeal along with chart notes. The primary physician can bill 59510 and 58150 in which case you will not have any problem in getting paid.

 

[tracylc10]

Thank you. That is what I thought. I am still waiting to hear from the primary surgeons office.