You can post a question only up to 7 days from the date of the webinar.
You can continue to post comments and stay informed, compliant, and profitable.
This session has expired.
Register for our upcoming webinars & continue to get coding, compliance & reimbursement updates.


3 Followers Follow
Posted By Danielle Levy on 10-15-2020, 09:35:50 in Ob-Gyn
Our physicians did a suction D&C on 09/28/20 for a missed ab ( outpatient ) billed 59820. On 09/29/20 pt is admitted as in patient where same physician performs mini-lap with evacuation of hematoma , excision of incisional site ectopic pregnancy and repair of uterine segment . I have attached all op and path reports . Would we bill the second procedure with 10140, and products of conception as diagnosis . I am aware we would need to add modifier . but Im a little stumped. Any suggestions would be most appreciated . Thanks in advance
Files Attached:
Download all
  1. Image_001.pdf
Comments (1)
Posted By Melanie Witt on 10-29-2020, 14:31:57
10140 is not correct for any of this surgery. It represents removal of a hematoma below the skin which is not the case here. He starts out with a diagnostic laparoscopy and lysis of some minor adhesions, then converts to open to remove the ectopic that was in the previous cesarean scar and to remove the hematoma that was in the wall of the uterus. 59130 may be representative of the work, but this was not a typical abdominal ectopic pregnancy. I think you will have to go with the unlisted code for this surgery 59899 and compare the work to 59130. And of course you will want to use a modifier -78
Do you want to remove this attachment from this post?
Yes No
Do you want to add this specialty to your selected specialty list?
Yes No
To comment, please register for any of our webinars. Click here to register for our upcoming webinars.
This comment will be permanently deleted. Do you still want to continue?
Yes No
Do you want to remove this comment from this discussion?
Yes No
Do you want to block this user from participating in this discussion?
Yes No
Do you want to allow this user to participate in this discussion?
Yes No
This post will not be available for further discussion/comments if deleted. Do you still want to continue?
Yes No