Gynecologic Surgical Coding Flashcards

A surgeon performs a laparoscopic bilateral salpingo-oophorectomy. Which CPT code is most appropriate?

Answer: 58661

CPT 58661 describes laparoscopic removal of adnexal structures (partial or total oophorectomy and/or salpingectomy).

When coding a radical hysterectomy with bilateral lymphadenectomy, what is the correct approach for the lymphadenectomy?

Answer: Bill it separately using an add-on code

Pelvic lymphadenectomy performed with radical hysterectomy is reported separately using the appropriate lymphadenectomy add-on or standalone code.

Which CPT code represents a vaginal hysterectomy for a uterus weighing more than 250 grams?

Answer: 58290

CPT 58290 is used for vaginal hysterectomy when the uterus weight exceeds 250 grams.

A patient undergoes laparoscopic cystectomy of a right ovarian cyst. The cyst ruptures during removal. How does this affect coding?

Answer: No change; code the procedure as planned

Intraoperative complications like cyst rupture do not change the procedure code; the surgeon's intended and completed procedure determines the code.

CPT code 57267 is an add-on code used in conjunction with which procedure?

Answer: Anterior and/or posterior colporrhaphy

CPT 57267 (insertion of mesh or other prosthesis) is an add-on code used with anterior and/or posterior colporrhaphy codes.

What modifier should be appended when the same surgeon performs a diagnostic laparoscopy that leads to an immediate therapeutic laparoscopy during the same session?

Answer: No modifier needed; only report the therapeutic procedure

When a diagnostic laparoscopy converts to a therapeutic procedure, only the therapeutic (surgical) laparoscopy is reported, as the diagnostic portion is bundled.

A surgeon performs a LAVH (laparoscopically assisted vaginal hysterectomy) with removal of tubes and ovaries. Which code set best describes this?

Answer: 58554

CPT 58554 describes LAVH with removal of tube(s) and/or ovary(s) for a uterus greater than 250 grams.