Open or laparoscopic supracervical hyst

[cgarcia@jpbmd.com]

Patient was scheduled for a TLH. According to the OP note, surgeon went on to proceed with an open procedure. Surgeon specifically stated abdominal hysterectomy due to the lack of visualization of the uterus and attachments. He did cut the ligaments laparoscopically, but proceeded to make an incision through which all parts were eventually removed.

I had previously been advised this would be coded as 58544 but should this be 58180?

 

[csperoni]

When a procedure is planned and/or starts as one approach, but is completed by another approach, you code how it was completed, not how it was intended or started.
This would be coded as open. Make sure to add as a secondary diagnosis for laparoscopic converted to open.