COBGC Gynecologic Surgical Coding 3 — Questions and Answers
Question 1: Which CPT code is used for a total abdominal hysterectomy (TAH) with bilateral salpingo-oophorectomy?
- 58150 (Correct answer)
- 58180
- 58200
- 58152
Correct answer: 58150
CPT 58150 describes total abdominal hysterectomy with or without removal of tube(s), with or without removal of ovary(s).
Question 2: When coding vulvectomy procedures, what factor primarily differentiates simple from radical vulvectomy?
- Anesthesia type used
- Skin and deep subcutaneous tissue involvement vs. skin only (Correct answer)
- Bilateral vs. unilateral excision
- Use of intraoperative frozen section
Correct answer: Skin and deep subcutaneous tissue involvement vs. skin only
Radical vulvectomy involves removal of skin and deep subcutaneous tissues, while simple vulvectomy removes skin and superficial subcutaneous tissues only.
Question 3: A patient has a Bartholin's gland cyst marsupialization. Which CPT code applies?
- 56440 (Correct answer)
- 56420
- 56441
- 56442
Correct answer: 56440
CPT 56440 is the correct code for marsupialization of Bartholin's gland cyst.
Question 4: Which of the following best describes the correct coding for bilateral tubal ligation performed via laparoscopy using fulguration?
- 58600 x2 with modifier 50
- 58671
- 58670 (Correct answer)
- 58600 with modifier 50
Correct answer: 58670
CPT 58670 describes laparoscopy with fulguration of oviducts (with or without transection), and bilateral procedures are inherent to this code.
Question 5: A patient undergoes excision of a vaginal cyst. Which CPT code range covers this procedure?
- 57100–57109
- 57135 (Correct answer)
- 57130
- 57160
Correct answer: 57135
CPT 57135 describes excision of vaginal cyst or tumor.
Question 6: When a hysteroscopy with endometrial ablation is performed, which CPT code is used?
- 58353
- 58563 (Correct answer)
- 58558
- 58555
Correct answer: 58563
CPT 58563 describes hysteroscopy with endometrial ablation (e.g., endometrial resection, electrosurgical ablation, thermoablation).
Question 7: Under the surgical package rule, which service is NOT included in the global surgical package for a major procedure?
- Preoperative visit the day before surgery
- Intraoperative services normally part of the procedure
- Treatment of complications unrelated to the surgery (Correct answer)
- Postoperative follow-up visits within the global period
Correct answer: Treatment of complications unrelated to the surgery
Treatment of complications that are unrelated to the original surgery is billed separately and is not part of the global surgical package.
COBGC Gynecologic Surgical Coding 3
Which CPT code is used for a total abdominal hysterectomy (TAH) with bilateral salpingo-oophorectomy?