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Wiki Hysterectomy after assist at C-section

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dmwightman

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My provider assisted with a C-section and then performed the hysterectomy. The code for C-section only is 59514 for my provider since she won't be providing post-partum care as the patient's OB/GYN will be billing for the ante-and post-partum care as well as the C-section, code 59510. I am looking for coding guidance on the hysterectomy that my provider performed. Does CPT code 59525 have to be done by the same primary provider who bills the 59510 or do I use the hysterectomy code 58150? Any guidance would be appreciated.
 
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59525 Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure)
Notes: (Use 59525 in conjunction with 59510, 59514, 59515, 59618, 59620, 59622)

I would use 59525 for this hysterectomy since your provider was involved in the delivery and is doing the hysterectomy through the same incision.
I would only use 58150 if the patient delivered, was closed, then there was a suspected complication/bleeding and the patient was re-opened by your physician.
I have seen cases where a physician who was in no way involved in the delivery is called in (while patient still open) to perform a hysterectomy. In that situation, I recommend 58150-52.
I don't recall seeing an ACOG official guidance for your scenario, but my recommendation is 59525.
 
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