Wiki Uterine prolaspe

[VickiS]

Can you bill 88307 for TVH/BSO with pre-op dx as cystocele, pelvic pain,uterine prolapse? Our pathologist findings were benign submucosal leiomyoma and endocervical polyp with no abnormality in ovaries and fallopian tubes...or is it billed as 88305 because the pre-op has mentioned prolapse?

 

[lcabanig]

You bill off the Pathologist's findings, so an 88307 would be correct.

It's the same as if the specimen submitted had a pre-op dx soft tissue mass but the findings turned out to be a lipoma, you wouldn't bill out an 88307, you would bill out an 88304.

 

[bbooks]

My understanding from reading Padget's is that a leiomyoma would not be considered a significant pathology to raise 88305 uterus and adenexae for prolapse to 88307. However, in this case, one of the pre-op diagnoses was also pelvic pain. This pre-op diagnosis would be enough to raise the case to 88307. If the case had a pre-op diagnosis of only prolapse, then the case would be coded 88305.