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Wiki Lap BSO/Adhesions w/Vag Hyster

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MD did extensive laparoscopic lysis of adhesions with eventual BSO followed by vaginal hysterectomy. Total time 6hrs.
Is this just 58552/22, or would it be appropriate to code 58660 & 58262 with a 59? It seems as though that would more specifically indicate the extensive lysis, but I don't know if/when those pieces of the procedure should be split.

TIA,
Carol Wright, CPC
 
Well for your CPT 58262 is vaginal approach and 58552 is laparoscopy approach. Those are 2 completely different vaginal hyst approaches. LOA will be secondary and yes you can add 22 for extensive. Probably better to send claim w/ op report. good luck
 
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