AHA Coding Clinic® for HCPCS - 2021 Issue 3; Ask the Editor

Fulguration of bleeding vessel

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? ...

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