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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...
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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...
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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...
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    Wiki EXPLORATION OF RUPTURED VULVAR HEMATOMA

    thank you
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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...
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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...
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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...
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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 ?
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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...
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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
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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...
  12. R

    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...
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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.
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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...
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    Wiki Need help understanding diagnostic Laparoscopy converted to laparotomy with rt salpingoophorectomy

    thank you so much for your response.
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    Wiki Need help understanding diagnostic Laparoscopy converted to laparotomy with rt salpingoophorectomy

    Hello Coders! I hope everyone is doing well. I needed some advice with a surgery that was originally scheduled as a diagnostic laparoscopy but then converted to a laparotomy. I understand that i would need to code the surgery as to what performed at the end.. But i wanted anyone input and...
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    Wiki CPT CODE 49002?

    Hello fellow coders. I am trying to make sure I get this op report correctly. Patient had a csection same day and had to return back to OR for exp lap with additional procedure for subfascial hematoma after csection. Can someone please confirm if this should be 49002 with mod 78?? OPERATIVE...
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    Question 49320 WITH 58660

    Hello fellow coders. I wanted to ask for any advice on the surgery that i am coding. I am coming up with 49320 and 58660 but i wanted to see if anyone has any input. Thank you Pre-procedure diagnosis: ruptured ectopic pregnancy vs ruptured corpus luteum Post-procedure diagnosis: possible...
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    Wiki uterine rupture pregnancy

    Thank you so much for your feedback. This is definitely the first time i've seen a case like this.
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    Wiki uterine rupture pregnancy

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    Wiki suction d and c with intrauterine tamponade balloon

    thank you so much
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    Wiki uterine rupture pregnancy

    Hello Everyone. I have been doing my research for diagnostic laparotomy with closure of uterine rupture at 31 weeks. I am between the 49320 or since this is OB related and related delivery due to uterine rupture I can bill cpt code 59514 with the closure of uterine rupture 59350? any input is...
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    Wiki suction d and c with intrauterine tamponade balloon

    Hello. I am really in the need of advice. Upon reviewing the op note i came with cpt code 58120 but i am very confused with the intratuerine tamponade balloon as the second procedure and need anyone's experience if the cpt code 58120 is included with the balloon procedure. I am used to coding...
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    Wiki MOLAR PREGNANCY D AND C

    Thank you so much for your response. I appreciate it.
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    Wiki MOLAR PREGNANCY D AND C

    Hello. I am getting mixed information regarding D and C for Molar Pregnancy. I am gearing towards 59870 with icd 10 code O08.9 please let me know if anyone has any input. Thank you. Pre-procedure diagnosis: molar pregnancy Post-procedure diagnosis: molar pregnancy Procedures performed: suction...
  26. R

    Wiki VAGINAL CUFF DEHISCENCE CPT CODE 57200???

    i noticed on the forum that i think unlisted code 59899 was used but our billing system doesnt have this unlisted code in place. Do you agree 57200 is supported?
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    Wiki VAGINAL CUFF DEHISCENCE CPT CODE 57200???

    Hello :) I wanted to seek any input from anyone that can help me. Patient had a hysterectomy with another provider (not in our medical group) 13 days ago. She came in the Ed with complaints of vaginal bleeding my doctor found that patient has a vaginal cuff dehiscense and requires to go to...
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    Wiki DENIAL FOR CPT 59151

    Thank you so much for your response. Yes i reviewed it as well and was not understanding why it was denied and the denial department asked me as the coder to review the op note as it was denied for incorrect coding. I sent a response back for appeal and to attach the medical documentation to the...
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    Wiki DENIAL FOR CPT 59151

    hello everyone. I wanted to see if anyone can give me some insight on this surgery. I coded it as a 59151 with icd 10 code o00.101. blue cross denied the claim, stating that the cpt code is not covered with icd 10. If anyone can let me know if the code I used is not correct please let me know. I...
    • rockylopez
    • Thread
    • 59151 ectopic pregnancy laparoscopic surgery
    • Replies: 2
    • Forum: OB/GYN
  30. R

    Wiki CPT 59830 VS 59840

    thank you so much for your response. The only reason why i was gearing towards 59830 is because on the post op note the following day the provider confirmed on the note that the purpose of the procedure was due to septic ab. Discharge diagnosis: POD #1 status post suction curettage, septic...
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    Wiki CPT 59830 VS 59840

    Hello Coders. I have an op report for blighted ovum/septic AB and i am gearing towards cpt 59830 but then again I think due to blighted ovum and light vaginal bleeding op report seems like it was more of an induced AB (59840) any input is appreciated. Pre-procedure diagnosis: Blighted ovum...
    • rockylopez
    • Thread
    • 59830 59840 blighted ovum
    • Replies: 3
    • Forum: OB/GYN
  32. R

    Wiki cpt CODE 58800? DIAG. LAPAROSCOPY/DRAINAGE OF OVARIAN CYST/RSO

    Hello fellow coders. I wanted to ask for anyone's input if i am coding this surgery correctly. CPT code 58800 & 58661,RT??? Pre-procedure diagnosis: Adnexal mass 27 cm Post-procedure diagnosis: right adnexal mass, filled with clear fluid, 3750 cc Procedures performed: Dx. L/S. drainage of...
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    Wiki Laparoscopic salpingectomy

    THE DENIAL WAS FOR ICD 10 CODE THAT WAS USED WHICH WAS N70.91 - SALPINGITIS.
  34. R

    Wiki Laparoscopic salpingectomy

    In regard to 58661 would this also apply if the physician does a right partial salpingectomy via robotic due to salpingitis not for sterilization? A previous coder billed this surgery as a 58661 and insurance denied it, i did my research and i am gearing towards changing 58661 to 58670. Wanted...
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    Wiki need help with understanding cpt code 49000

    Thank you so much for your detailed response. I do appreciate it. I did send query to provider and this is the response when I inquired the procedure, Intraoperative Consult: bilateral adnexal masses, ascites, laparoscopic right oophorectomy, ex-lap and left salpingo-ophorectomy Surgeon. I...
  36. R

    Wiki need help with understanding cpt code 49000

    Hello. I am coding for a cosurgeon case and I am stuck with coding what was initially laparoscopic and converted to open. The op report is confusing in determining how i should code the procedure I am gearing towards 49000 but really could use some help. Thank you PROCEDURE in DETAIL: Upon...
  37. R

    Wiki Csection/Right Salpingectomy/left ovarian cystectomy

    Hello! I am hoping someone can give me any insight if the codes that I selected for this procedure are correct. CPT codes 59514, 58925, and 58700 Operative Report POSTOPERATIVE DIAGNOSES: 1. G4, P2 female with IUP at 38 1/7 weeks. 2. Previous CS x 2 3. Abdominoplasty 4. Torsion of the right...
  38. R

    Wiki Exploratory laparotomy, hematoma evacuation and pelvic irrigation

    Hello! Thank you for taking time to read my post. I am coding for a hospitalist physician that did not perform the csection but the patients went to hospital 4 days after her csection delivery (another provider not in the group delivered and delivered in another hospital). Upon reviewing the op...
  39. R

    Wiki Total abdominal hysterectomy after vaginal delivery

    Yes thank you very much
  40. R

    Wiki Total abdominal hysterectomy after vaginal delivery

    Hello Coders. I was coding for a vaginal delivery only (59409) which resulted with postpartum hemorrhage and extensive blood loss. The provider attempted medication and also bimanual exam took the patient same day to to OR and under general anesthesia performed a tah. i only found add on cpt...
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    Wiki CPT CODE 58661 with modifier 22

    Thank you very much.
  42. R

    Wiki CPT CODE 58661 with modifier 22

    Thank you for your response. The only reason why I believe 58661 is supported per op report an ovarian cystectomy was not performed. A left salpingectomy was performed for this procedure. I didn’t think cpt 58925 is supported
  43. R

    Wiki CPT CODE 58661 with modifier 22

    Hello Coders. I have a diagnostic laparoscopy converted to mini lap. I believe the cpt code is 58661 and with the extensive lysis of adhesions modifier 22 is supported. Any input is appreciated. Thank you. "During evaluation, the contents of the left and right ovarian cyst were spilled...
  44. R

    Wiki Diagnostic Laparoscopic vs conversion to Mini laparotomy

    Thank you very much for your guidance and help. I appreciate it.
  45. R

    Wiki Diagnostic Laparoscopic vs conversion to Mini laparotomy

    Thank you so much for your response, only the part of the ovarian cyst wall was removed, and the only specimen documented that was sent to pathology, so i am gearing towards 58925. The sentence below is why I feel that modifier 22 is supported. Was difficult to find planes or dissection from...
  46. R

    Wiki Diagnostic Laparoscopic vs conversion to Mini laparotomy

    Hello fellow coders. I wanted to ask if anything can assist me with this surgery that i am contemplating on the cpt codes for the surgery. Pre-procedure diagnosis: 1. Abdominal pain 2. Left ovarian mass Post-procedure diagnosis: Left adnexal mass Procedures performed: 1. Diagnostic...
  47. R

    Wiki Aspiration of Bartholins Gland Cyst

    Hello. I am in need of assistance. I have a ED physician that saw a patient and performed an aspiration of bartholins cyst. The note is that not detailed in explaining if excision was performed. I am wondering if the cpt code for excision of Bartholins cyst is even billable at this point or I...
  48. R

    Wiki cpt code 49320 . Help Please.

    Hi Fellow coders. I have a physician that performed a diagnostic laparoscopy/right adnexal mass removal, collection of pelvic washings for torsion of right paraovarian mass. I have been reviewing my cpt book and came across cpt code 58662 that i am gearing towards. But when I review 49320 but I...
  49. R

    Wiki need help with surgery cpt codes

    Thanks so much for the reply. I am unsure if these are the correct codes and unfortunalty I do not have codify or encoder pro to confirm if these codes are in any way bundled. 49000 exp lap. 58661 bilateral salpingectomy 58350 chromopertubation 44960 appendectomy with rupture
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    Wiki need help with surgery cpt codes

    Pre-Op Diagnosis: pelvic fluid collection, failed IR drainage Post-Op Diagnosis: multiple adhesions with bilateral hydrosalpinx Procedure: diagnostic laparoscopy converted to exploratory laparotomy with lysis of adhesions, bilateral salpingectomy, appendectomy, chromopertubation Need help with...
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