COBGC Gynecologic Surgical Coding 2

Question 1

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

Accepted Answer

58661

Answer

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

Question 2

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

Accepted Answer

Bill it separately using an add-on code

Answer

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

Question 3

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

Accepted Answer

58290

Answer

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

Question 4

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

Accepted Answer

No change; code the procedure as planned

Answer

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

Question 5

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

Accepted Answer

Anterior and/or posterior colporrhaphy

Answer

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

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