tci Outpatient Facility Coding Alert - 2013 Issue 10

Reader Question: Watch the Surgical Approach for 00840 vs. 00944 Decision

Question: In the Anesthesia Crosswalk, CPT® code 58550 crosses to 00944, with 00840 as an alternate. What determines whether you use 00944 or 00840? Pennsylvania Subscriber Answer: Since anesthesia codes are based on anatomic location, you first need to check the provider’s notes from the procedure to see where and how it was performed. You’re coding anesthesia for a laparoscopic vaginal hysterectomy (58550, Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less). The most likely scenario is that the surgeon performed the procedure through the vagina, in which case you would use 00944 (Anesthesia for...

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