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Posted By Lynn Radecky on 04-22-2021, 10:16:25 in Ob-Gyn
What Cpt code would be appropriate? Thank you!
The patient had a cone biopsy a little over a week prior, the patient has had vaginal bleeding since, the dr. had to bring her to the O/R and performed an exam under anesthesia with cautery and suturing of cervical bed.

Cautery was performed on the entire cervical bed, still bright red oozing noted what seems to be posteriorly and anteriorly. Using 2-0 Vicryl sutures, a couple of figure of eights suture was placed on the posterior cervical bed. There was much difficulty manuevering the sutures in the tight space so another Dr. was called in for some assistance. coated bivalve speculum was replaced with a long weighted speculum placed posteriorly and another retractor placed anteriorly for better visualization . Then using a urology needle 2-0 chronic, 2 more figure of eight sutures place approx. at 9:00 and 10:00. Hemostatis seemed to finally be achieved and monsel was placed over the cervical bed also.
Comments (1)
Posted By Melanie Witt on 04-23-2021, 15:09:02
I would go with 57510, thermal cautery of the cervix. The EUA would be included. Because she also had to suture you might consider adding a modifier -22, but it would be better if he had also included how much longer it took to perform this.
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