A patient presented for a transvaginal hysterectomy. Immediately following surgery, the patient’s blood pressure dropped and when attempts to increase the pressure failed, a decision was made to proceed with an exploratory laparoscopy. After laparoscopic confirmation of a large intraperitoneal hemoperitoneum, blood was aspirated using a suction irrigator. Following aspiration and irrigation, there was noted to be a steady drip of bleeding from the stump of the right utero-ovarian ligament as well as bleeding from two areas on the posterior bladder surface. A vessel sealer was used to fulgurate the bleeding vessels. What is the correct code(s) for fulguration of bleeding vessels when performed for postoperative bleeding following a transvaginal hysterectomy?
There are no codes that accurately describe laparoscopic fulguration of bleeding vessels of the stump of the utero-ovarian ligament or the posterior surface of the bladder. Therefore, assign CPT code 58679, Unlisted laparoscopy procedure, oviduct, ovary, for the fulguration of the utero-ovarian ligament and CPT code 51999, Unlisted laparoscopy procedure, bladder, for the fulguration of the bladder. Two unlisted codes are assigned to capture the different body areas fulgurated.
Please note, when reporting unlisted codes, the submission of medical record documentation may be required.