Surgery: Female Genital System (Q&A) (September 2015)
September 2015 page 12dd
Surgery: Female Genital System
Question: Is it appropriate to report CPT 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, if laparoscopic hysterectomy with bilateral total pelvic lymphadenectomy is performed?
Answer: Yes, it is appropriate to report CPT code 58548 for laparoscopic hysterectomy with bilateral total pelvic lymphadenectomy, as long as the operative report describes complete removal of pelvic lymph nodes, tubes and ovaries. Documentation in the medical records should support what was performed.
Surgery: Female Genital System...
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This article explains a coding question from CPT Assistant focused on female genital system surgery and laparoscopic hysterectomy reporting. It is relevant to surgical coders, gynecologic billing staff, and compliance reviewers who need to understand the general documentation and reporting considerations discussed in the Q&A. The piece centers on a specific CPT example and the type of operative detail expected in the record.
Why This Topic Matters
Surgical coding for gynecologic procedures depends on accurate operative documentation and correct identification of the reported service. This Q&A helps readers understand the scope of the discussion and the documentation emphasis surrounding a laparoscopic hysterectomy case.
Article Sections
September 2015 page 12dd
A brief publication reference identifying the issue and page location for the Q&A content.
Surgery: Female Genital System
A question-and-answer discussion focused on female genital system surgery coding and associated operative documentation considerations.
What You Will Learn
The general subject matter addressed in the CPT Assistant Q&A
How the article frames documentation support for a gynecologic surgical reporting question
Which type of surgical scenario the discussion is centered on
Why operative record detail is important in the context of the article
Welcome to the ultimate resource for mastering CPT coding – the CPT® Assistant. This indispensable tool, brought to you by the American Medical Association (AMA), is designed specifically for medical coders, auditors, and billers who strive for accuracy and efficiency in their daily work with patient charts. Whether you are validating codes, training staff, or appealing insurance denials, CPT Assistant provides the authoritative guidance you need to excel.
Features
CPT Assistant
Expert Insights: Explanations and interpretations by the CPT Assistant Editorial Board.
Curated Content: Articles addressing key coding topics are meticulously curated for your convenience.
Visual Learning: Detailed examples, charts, graphs and illustrations to help you understand correct coding practices.
Monthly Updates: Regular updates on the latest coding changes and best practices.
Extensive Archive: Access more than 25 years of historical reference material.
Search Capabilities: Enjoy simple and effective search functions by keyword, code number, or article index.
Advantages and Benefits
With CPT Assistant, you can navigate the complexities of medical coding with unparalleled confidence. This resource offers authoritative answers and expert explanations that help reduce coding errors, leading to fewer claim denials and streamlined appeals processes. The comprehensive archive of articles, updated monthly, ensures you always have the most current information at your fingertips, enhancing your ability to stay ahead of industry changes and trends.
CPT Assistant’s visual aids, such as anatomical illustrations and procedural charts, make complex codes easier to understand, improving your accuracy and efficiency. By integrating this resource into your daily workflow, you can save valuable time and enhance your productivity.
Furthermore, CPT Assistant supports your professional growth by providing ongoing education and insights that keep you informed about the latest coding practices. This not only boosts your professional credibility but also enhances your ability to train and support your team effectively.
Get Started Today
Unlock your full potential and boost your coding capabilities with CPT Assistant today and experience the benefits of having a reliable, comprehensive coding resource at your disposal.
Quick, Current, Complete - www.findacode.com
