AMA CPT® Assistant - 2015 Issue 9 (September)

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...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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