Total Vaginal Hysterectomy Cpt Code

Obstetrician-gynecologists or other surgeons performing vaginal hysterectomy

must use the relevant CPT codes to bill for the procedure. The CPT codes for vaginal hysterectomy include – 58260 – Vaginal hysterectomy, for uterus 250 g or less 58262 – Vaginal hysterectomy, for uterus 250 g or less; with removal of tube (s), and/or ovary (s)

Total – 58150 Total abdominal hysterectomy (corpus and cervix), with or wi

thout removal of tube (s), with or without removal of ovary (s). This code includes the removal of the tubes and ovaries, if performed.

58280 - CPT® Code in category: Vaginal hysterectomy, with total or partial

vaginectomy CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more.

The other CPT® code sets are the LAVH (58550-58554) and laparoscopic suprac

ervical hysterectomy (LSH) (58541–58544). Each of the code sets are subdivided into uteri less than or greater than 250 grams and with or without removal of tube (s) and/or ovary (s).

When coding the hysterectomy procedure in ICD-10-PCS, it is imperative that

the operative report identify each body part removed (eg, uterus, cervix, fallopian tubes, ovaries). If a total hysterectomy is performed, the root operation will be resection, which is defined as the cutting out or off, without replacement, all of a body part.

The other CPT code sets are the laparoscopy with vaginal hysterectomy (LAVH)

(58550-58554) and laparoscopic supracervical hysterectomy (LSH) (58541–58544) code sets. Each of the code sets are subdivided into uteri less than or greater than 250 grams and with or without removal of tube (s) and/or ovary (s).

Total Laparoscopic Hysterectomy Procedure code 58570 Laparoscopy, surgical,

with total hysterectomy, for uterus 250g or less $946 58571 Laparoscopy, surgical, with total hysterectomy, for uterus 250g or less, with removal of tube (s) and/or ovary (ies) $1,056 58572 Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250g 1,177

Code 58575 is specific to total hysterectomy. But total isn’t the only opt

ion for a hysterectomy, as experienced ob-gyn coders know. For instance, codes 58180, 58541, and 58542 apply to supracervical hysterectomy, where the surgeon removes the uterus, but not the cervix.

The following CPT codes require prior authorization: Code Description 58263

Vaginal hysterectomy, for uterus 250 grams or less, with removal of tube(s), and/or ovary(s), with repair of enterocele 58275 Vaginal hysterectomy, with total or partial vaginectomy;

Hysterectomy procedures / codes that involve an incision into the abdomen, i

ncluding trocar insertion are categorized as NHSN HYST – abdominal hysterectomy procedures; therefore, a few of the CPT codes that include “laparoscopy, surgical, with vaginal hysterectomy” in the procedure description are included in the HYST procedure category ...

If the purpose of the colpopexy is to repair an existing enterocele, you wou

ld not itemize, but rather would report a vaginal hysterectomy with enterocele repair code (58263, 58270, 58292, or 58294) for that complete surgery.

The Current Procedural Terminology code set is a medical code set maintained

by the American Medical Association through the CPT Editorial Panel. The CPT code set is copyright protected by the AMA. ... 00944 vaginal hysterectomy 00948 repair of cervix 00950 vaginal endoscopy 00952 hysteroscope/graph . ... 01832 total wrist replacement 01840 ...

Emily Hill is the President of Hill and Associates and has a broad professio

nal background in the health care industry. With over 20 years of experience as a health care consultant, she has worked with numerous academic and private practices on coding, reimbursement, compliance, and practice management issues.

ICD-10-PCS Draft Coding Guideline B5.2 states that procedures performed via

natural or artificial opening with percutaneous endoscopic assistance are coded to approach value F. The code for a laparoscopic-assisted total vaginal hysterectomy is 0UT9FZZ, with the fifth character value of F.

59525 Subtotal or total hysterectomy after cesarean delivery (List separatel

y in addition to code for primary procedure) 59610 Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery

The vaginal portion of the procedure is then performed. The vaginal apex is

entered and the cervix and uterus are detached from the remaining supporting structures. The uterus is then removed through the vagina. The final code set is for Total Laparoscopic Hysterectomy (TLH), indicated by CPT codes 58570 to 58573

The evolution of hysterectomy can be described as starting with traditional

abdominal and vaginal routes for hysterectomy: Total abdominal and vaginal hysterectomy (TAH, TVH) Laparoscopic-assisted vaginal hysterectomy, introduced by Harry Reich in late 1980s (LAVH) Laparoscopic supracervical hysterectomy (LSH) Total laparoscopic hysterectomy (TLH)

Vaginal hysterectomy is a surgical procedure to remove the uterus through th

e vagina. During a vaginal hysterectomy, the surgeon detaches the uterus from the ovaries, fallopian tubes and upper vagina, as well as from the blood vessels and connective tissue that support it, before removing the uterus.

Similarly, vaginal apical suspensions, such as 57282 and 57283 can be billed

along with vaginal hysterectomy using a -59 modifier, as long as the documentation supports the additional work. NCCI Response to Laparascopic hysterectomy procedure code edits can be found here.

A hysterectomy is a surgical procedure in which the uterus is removed. There

are a variety of surgical techniques for performing hysterectomies, which include vaginal hysterectomy, total hysterectomy, laparoscopy-assisted vaginal hysterectomy (LAVH), supracervical hysterectomy, laparoscopic supracervical hysterectomy, radical hysterectomy, and ...

For coders who use ICD-10-PCS, 2018 brought a big change to female reproduct

ive system coding. Originally, coding a hysterectomy necessitated two separate codes: one for resection of the uterus, and another for resection of the cervix. According to Procedure Coding System (PCS) guideline B3.2a, “During the same operative episode, multiple procedures are coded if the same root operation is ...

In laparoscopic total hysterectomy procedures, the surgeon detaches both the

uterine cervix and body completely from their surrounding support structures using a laparoscope, and also sutures the vaginal cuff using the a laparoscope. The CPT codes for these procedures include: 58570— Laparoscopic total hysterectomy for uterus 250g or less

When reading through documentation in an operative report for a hysterectomy

, for the ‘Procedure Performed’, a ‘TAH-BSO, and Omenectomy’ is performed. As with all operative reports, there are guidelines that should be followed when determining the appropriate ICD-10-PCS codes.

AHA Coding Clinic for ICD-10-PCS, Third Quarter 2013 states that in ICD-10-P

CS, when coding for a total (open) hysterectomy, two codes are reported to specify the resection of the uterus and the cervix. A total hysterectomy includes the removal of both the uterus and cervix.

A prospective, randomized study was conducted to identify differences in the

perioperative outcome of patients undergoing either routine total abdominal hysterectomy with bilateral salpingo-oophorectomy (TAH-BSO) or laparoscopic-assisted vaginal hysterectomy and bilateral salpingo-oophorectomy (LAVH-BSO).

Note. Z codes represent reasons for encounters. A corresponding procedure co

de must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'.This can arise in two main ways:

Vaginal Hysterectomy: Recovery, Procedure, and More Medically reviewed by Al

ana Biggers, M.D., MPH — Written by Ann Pietrangelo — Updated on March 17, 2017 Procedure

The hysterectomy and bilateral salpingo-oophorectomy will both be done durin

g one procedure. This surgery will remove the uterus, cervix, ovaries, and fallopian tubes. After a hysterectomy you will no longer have periods or be able to become pregnant.

The line of stitches begins just above my anus - like an episiotomy - and ex

tends in an unbroken and lumpy line all the way up the interior vaginal wall to about 2 centimeters short of the vaginal cuff (I had a hysterectomy in 2012). These sorts of surgical incisions are not fast-healing.

Total Vaginal Hysterectomy (TVH) Technique. Procedure involves the removal o

f the uterus and cervix. The decision whether or not to remove the fallopian tubes . and ovaries is a separate decision. If the ovaries are removed, the procedure name includes the term bilateral . salpingoophorectomy (BSO). Incisions. An incision is made in the top of ...

Vaginal cuff dehiscence is a rare, but potentially morbid, complication of t

otal hysterectomy (surgical removal of the uterus and cervix). When vaginal cuff dehiscence occurs, abdominal or pelvic contents are at risk of evisceration (expulsion) through the vaginal opening.