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.
Close
This session has expired.
Register for our upcoming webinars & continue to get coding, compliance & reimbursement updates.
Close

Post

Vote
0
4 Followers Follow
Posted By Dorine on 08-14-2020, 13:37:53 in Ob-Gyn
Hello Ob-Gyn group, my doctor took the patient to the OR for an exploration of the vaginal cuff as she is s/p 09/12/19 hysterectomy bilateral salpingectomy -his findings were left vaginal cuff separation, approximately 0.5 cm, pelvic hematoma - 6x4 cm , old suture appreciated at vaginal cuff. Op report reads: EUA revealed an intraabdominal vaginal cuff mass, the mass was mobile and firm to palpation, speculum placed in posterior fornix and vaginal cuff visualized with the assistance of rt angle retractors. Old suture visualized and removed w/o difficulty. Vaginal cuff was then bluntly dissected and opened with Carmalt's in a push and spread fashion. No purulent material noted from cuff, cuff was again inspected and no bleeding was noted at edges. irrigation was carried out until clear. Small amounts of vaginal bleeding was seen coming from behind the vaginal cuff. Arista was placed intravaginally, approximately 0.5 cm x 0.5 cm vaginal cuff opening appreciated w/ good hemostasis noted, instruments removed. I submitted this charge using 58999 and would like to confirm if this was the best coding choice and if so what code would be comparable, I was thinking I could use 57410 or 57200. Would you please advise as insurance is requesting a comparison code. Thank you so much!
Comments (2)
Posted By Dorine on 08-20-2020, 14:54:03
Thank you Melanie! :)
Posted By Melanie Witt on 08-20-2020, 14:48:50
Correct, this can only be reported with 58999. The comparison code would be 57200, not 57410. 57410 is included in 57200 as a standard of surgical care.
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.
Close
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