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Help With Obgyn Coding

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CCO_Admin

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Patricia Nelson-Boruch asked:

If someone can help to see if I am coding these correctly. I am new to obgyn. I would appreciate it.

1.

Hysteroscopy with curettage and resection of submuscous myomas

Cystectomy left Bartholins gland

I came up with 58561 and 56740-51

2\. This patient is 10days post delivery

Postpartum curettage

Uterine packing

I came up with 59160 and I could not find nothing for Uterine packing

3.

Laparoscopy with lysis of adhesion

Holmium laser ablation of endometriosis

Diagnostic hysteroscopy

Dilatation and Curettage and NovaSure Endometrial ablation

I came up with only 58563 as everything is included in this code.

Answer:

I had a bit of a hard time with how this was presented but I came up with this suggestion:
58563-78
58660- 78-59
58561-78-59
58559-78-59
56420-79-59
Do not forget modifiers for return to OR within the post-op global period for related procedures (78) and/or modifier 79 for unrelated such as Bartholins gland. This was not indicated.
 
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