AMA CPT® Assistant - 2019 Issue 3 (March)
Reporting Total Pelvic Lymphadenectomy and Laparoscopic Total Hysterectomy Procedures (March 2019)
March 2019 page 5 Reporting Total Pelvic Lymphadenectomy and Laparoscopic Total Hysterectomy Procedures The American Medical Association's Current Procedural Terminology (CPT®) staff often receives questions from users of the CPT code set about correct coding. This coding brief provides answers to some frequently asked questions related to reporting laparoscopic total hysterectomy with bilateral total pelvic lymphadenectomy. Frequently Asked Questions Question: How is code 58548 different from code 58575? Answer: Code 58548, Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed, is used to...
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Article Overview
This article from CPT Assistant discusses reporting questions tied to laparoscopic hysterectomy and total pelvic lymphadenectomy procedures. It is aimed at coders, billers, and other reimbursement professionals who need to understand the article’s comparison of related CPT services, the use of modifiers, and the kinds of clinical scenarios addressed in the examples. The piece also notes that CPT guidance may differ from payer-specific policies.
Why This Topic Matters
It helps readers quickly assess whether the article covers the procedure pairing, related CPT reporting questions, and the general scenarios in which the guidance is presented.
Article Sections
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March 2019 page 5
Introductory material identifying the publication page and the overall subject of the coding brief.
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Frequently Asked Questions
A short FAQ-style discussion of related CPT reporting questions involving gynecologic laparoscopic surgery and associated procedural groupings.
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Example 1
A clinical scenario involving postoperative staging after a prior hysterectomy and the type of procedure discussed in that context.
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Example 2
A separate patient scenario centered on hysterectomy for an enlarged uterus and the related reporting topic.
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Example 3
A combined scenario describing circumstances in which multiple gynecologic procedures may be discussed together in the article’s guidance.
What You Will Learn
- The article’s scope in relation to laparoscopic hysterectomy and pelvic lymphadenectomy reporting
- How the brief frames questions and examples around gynecologic surgical coding
- Which modifiers are mentioned in connection with the reporting discussion
- What types of clinical scenarios the article uses to illustrate the guidance
Who Should Read This
- Medical coders
- Coding auditors
- Hospital revenue cycle staff
- Physician billing staff
- Gynecology practice administrators
Codes Discussed
Modifiers Discussed
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