Hysterectomy

Why This Topic Matters

Hysterectomy coding can vary depending on surgical approach, extent of procedure, and associated procedures performed at the same operative session. This article helps readers orient to the coding structure and terminology changes so they can review cases more accurately.

Article Sections

1. Effective date and new hysterectomy code categories

   Introduces the coding update effective October 1, 2006 and the broad hysterectomy categories discussed in the article. It frames the section around approach-based distinctions and terminology changes.

2. Overview of hysterectomy approaches and terminology

   Summarizes common clinical indications and the general ways hysterectomy procedures may be performed. It also addresses terminology inconsistencies in surgical documentation.

3. Laparoscopic total abdominal hysterectomy

   Describes the laparoscopic total abdominal hysterectomy category and provides a clinical overview of the procedure. The discussion stays focused on the broad anatomic and surgical context.

4. Laparoscopic radical abdominal hysterectomy

   Covers the laparoscopic radical abdominal hysterectomy category and the related radical procedure concepts. It also notes broader clinical context for extensive hysterectomy procedures.

5. New subcategory and code notes for total abdominal hysterectomy

   Presents the revised subcategory structure and associated notes for total abdominal hysterectomy. This section also mentions related synchronous procedure references and exclusions.

6. New subcategory and code notes for radical abdominal hysterectomy

   Covers the revised radical abdominal hysterectomy grouping and its associated coding notes. It includes related synchronous procedure references and exclusions.

7. New subcategory and code notes for radical vaginal hysterectomy

   Describes the radical vaginal hysterectomy grouping and its related coding notes. The section includes associated synchronous procedure references and exclusions.

8. Other and unspecified hysterectomy

   Addresses the residual hysterectomy category and its position within the code structure. It includes related exclusion references for abdominal and vaginal approaches.

9. Coding questions and examples

   Presents a practical coding question about total laparoscopic hysterectomy and related adnexal surgery. A second example begins but is truncated in the supplied text.