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rockylopez

Recent content by rockylopez

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Wiki Laproscopic left salpingectomy AND ovarian cystectomy

The physician was able to upload the detailed op note with procedure details. DESCRIPTION OF PROCEDURE: The patient was brought back to the operating room and placed on the operating table in supine position. The patient was then placed under general anesthesia by the anesthesiologist. Next...
- rockylopez
- Post #4
- Apr 19, 2024
- Forum: OB/GYN
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Wiki Laproscopic left salpingectomy AND ovarian cystectomy

Hello my coders :) I am reviewing this op note and i wanted to confirm if 58661 and 58662 can be billed together in this instance. Any input is appreciated. Thank you. Operative Report Pre-procedure diagnosis: Adnexal mass Post-procedure diagnosis: Left fallopian tube cystic mass Procedures...
- rockylopez
- Thread
- Apr 17, 2024
- Replies: 4
- Forum: OB/GYN
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Wiki Cystectomy with excision and removal of the cyst in toto.. help please

Hello :) I am new to this and I am hoping someone can give me any input. Physician performed a Cystectomy with excision and removal of the cyst. Upon researching this may apply to an unlisted cpt code 51999 or possibly CPT code 51555. Any input is appreciated. OPERATIVE NOTE - Intraoperative...
- rockylopez
- Thread
- Mar 29, 2024
- Replies: 1
- Forum: OB/GYN
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Wiki EXPLORATION OF RUPTURED VULVAR HEMATOMA

thank you
- rockylopez
- Post #3
- Mar 18, 2024
- Forum: OB/GYN
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Wiki OPEN RSO surgery

Hello Everyone. I wanted to ask for coding advice. I am gearing towards cpt code 49000 but wanted to confirm. Any help is appreciated. Primary Procedure: LAPAROTOMY EXPLORATORY RSO Pre-procedure diagnosis: Right Hemorrhagic Ovarian Cyst Post-procedure diagnosis: same as pre procedure dx...
- rockylopez
- Thread
- Mar 18, 2024
- Replies: 2
- Forum: OB/GYN
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Wiki EXPLORATION OF RUPTURED VULVAR HEMATOMA

Hello. I need assistance with this op report contemplating on cpt code 57023? PREOPERATIVE DIAGNOSES: 1. Vulvar hematoma, ruptured POSTOPERATIVE DIAGNOSES: Same as above NAME OF PROCEDURE: exploration of ruptured vulvar hematoma ANESTHESIA: GETA ESTIMATED BLOOD LOSS: 1000 cc FINDINGS...
- rockylopez
- Thread
- Mar 14, 2024
- Replies: 2
- Forum: OB/GYN
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Wiki RETURN TO OR AFTER CSECTION FOR DEHISCENCE OF C/S WOUND & Reduction of herniated bowel and omentum

Hello :) I really need help with this OP report. Patient had csection and returned back to Or the following day for dehiscence of csection wound. Post-procedure diagnosis: 1.Dehiscence of C/S wound in its entire length 2.Herniation of bowels and omentum. 3.H/O primary C/S , day #7 4.Advanced...
- rockylopez
- Thread
- Feb 9, 2024
- Replies: 1
- Forum: OB/GYN
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Wiki 59151 with left ovarian cyst drainage

would you recommend 59151 and 49322??? or would 59151 be bundled for the lap rt salpingectomy for ectopic ?
- rockylopez
- Post #3
- Feb 7, 2024
- Forum: OB/GYN
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Wiki 59151 with left ovarian cyst drainage

Hello Fellow Coders. Any input is appreciated. I am gearing towards 59151 for the right ruptured ectopic preg but i am stuck with the left ovarian drainage. I found 58805? Preoperative Diagnosis: Free fluid, suspected ruptured ectopic pregnancy vs hemorrhagic cyst Postoperative Diagnosis...
- rockylopez
- Thread
- Feb 7, 2024
- Replies: 3
- Forum: OB/GYN
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Wiki 56405 and 10060

Thank you so much for the confirmation. I geared towards 56405 as well but i wanted to make sure
- rockylopez
- Post #4
- Jan 31, 2024
- Forum: OB/GYN
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Wiki 56405 and 10060

Hello :) I am gearing towards coding this as 56405 but i came across 10060 as well. I wanted to ask for anyone input. Thank you Pre-procedure diagnosis: Fournier's gangrene of left mons and left labia Abscess on left mons pubis with cellulitis Right lateral labial cellulitis and abscess...
- rockylopez
- Thread
- Jan 30, 2024
- Replies: 3
- Forum: OB/GYN
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Wiki Bladder repair due to adhesions during Csection

Good morning I have an op report that i am debating if cpt code 58160 is supported. it is not an injury to the bladder. During the csection the doctor documented that there were significant adhesions in bladder, he went in and performed a cystotomy. ANy input is appreciated. SO Far I have 59514...
- rockylopez
- Thread
- Jan 26, 2024
- Replies: 1
- Forum: OB/GYN
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Wiki laparoscopic L ovarian cystectomy with evacuation of hemoperitoneum

THANK YOU I WAS CODING THE SURGERY WITH CPT CODE 58662. I AM GOING TO GO AHEAD AND ADD THE MODIFIER 22.
- rockylopez
- Post #4
- Jan 23, 2024
- Forum: OB/GYN
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Wiki laparoscopic L ovarian cystectomy with evacuation of hemoperitoneum

Hello everyone. I need input. I am aware that lap ovarian cystectomy is 58662. can someone give me advice if this code includes evacuation of hemoperitoneum. Operative Note Pre-Op Diagnosis: hemorrhagic cyst with hemoperitoneum Post-Op Diagnosis: same as pre-op Procedure: laparoscopic L...
- rockylopez
- Thread
- Jan 22, 2024
- 58662
- Replies: 3
- Forum: OB/GYN
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Wiki Need help understanding diagnostic Laparoscopy converted to laparotomy with rt salpingoophorectomy

thank you so much for your response.
- rockylopez
- Post #4
- Jan 22, 2024
- Forum: OB/GYN

rockylopez