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Posted By mary peabody on 05-26-2019, 15:28:30 in Ob-Gyn
Hello Melanie,

Would CPT 58956 be appropriate for this case?

Please see op note and path report
Comments (3)
Posted By Melanie Witt on 05-29-2019, 19:54:36
The case you attached to this message did not state an omentectomy was performed - I just read it again - they did an omental biopsy only. The question you had asked in another post talked about omentectomy and I asked you to send the op note before I could help you, but it was not sent. But in answer to your additional comment, the gastrocolic omentum is the greater omentum and drapes from the stomach down to the transverse colon - hence the name gatrocolic omentectomy. So yes, it is an omentectomy.
Posted By mary peabody on 05-29-2019, 11:29:26
Hello Melanie,

Thank you for reviewing this case. The operative report states a gastrocolic omentectomy was performed. Is this an omentectomy?
We then directed our attention to the omentum. The omentum was separated along the avascular plane attaching it to the transverse colon. We then separated the omentum from the transverse colon mesentery and fulgerated and transected the gastroepiploic vessels. The omentum was then sent to pathology for review.

Thank you so much for your feedback.
Posted By Melanie Witt on 05-27-2019, 13:48:56
He did not do an omentectomy so the closest code as described by his surgery is 58150. However, he also assisted or was a co-surgeon to the GI MD and you should use the codes reported by that physician with the appropriate modifier for the rest of the surgery.
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