Gynecologic Surgical Coding Flashcards
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Read the first 7 Gynecologic Surgical Coding flashcards as text
A physician performs a laparoscopic myomectomy to remove four uterine fibroids. How is this coded?
Answer: 58545 + 58546 as an add-on
CPT 58545 is for laparoscopic myomectomy of 1–4 intramural myomas, and 58546 (add-on) is used when 5 or more myomas total are removed.
Which ICD-10-CM code category describes leiomyoma of the uterus?
Answer: D25
ICD-10-CM category D25 covers leiomyoma of the uterus (uterine fibroids), with subcategories specifying the location.
A surgeon performs a colpocleisis (Le Fort procedure). Which CPT code describes this?
Answer: 57120
CPT 57120 describes colpocleisis (obliteration of vaginal canal), also known as the Le Fort procedure.
When a surgeon performs both a cystoscopy and a hysteroscopy during the same operative session, how should these be coded?
Answer: Report both procedures with modifier 51 on the lesser procedure
When two distinct endoscopic procedures are performed during the same session, report both with modifier 51 appended to the secondary (lesser) procedure.
What does the CPT code 58300 describe?
Answer: Insertion of IUD
CPT 58300 describes insertion of an intrauterine device (IUD).
A patient undergoes excision of a lesion of the cervix using LEEP (loop electrosurgical excision procedure). Which CPT code applies?
Answer: 57460
CPT 57460 describes colposcopy with loop electrode excision procedure (LEEP) of the cervix.
When coding a laparoscopic-assisted procedure that was converted to an open procedure due to intraoperative complications, which coding guideline applies?
Answer: Code the open procedure only; the laparoscopic attempt is not separately billable
When a laparoscopic procedure is converted to open, only the open procedure is coded because the laparoscopic attempt is considered part of the open approach.