tci Part B Insider - 2005 Issue 44

GYNECOLOGY: You Be the Coder--Attain Vaginal Suspension Coding Victory With This Advice

Question: I have documentation that the ob-gyn performed a vaginal vault suspension at the same time as an abdominal hysterectomy. How would I code this situation? Virginia SubscriberAnswer: Generally, you can report the suspension if the payor doesn't bundle it into another procedure for which you're coding. Medicare includes CPT 57280 (Colpopexy, abdominal approach) with 58150 (Total abdominal hysterectomy [corpus and cervix]...). Important: You can't bypass this edit. However, Medicare doesn't bundle any of the vaginal approach colpopexy codes, such as 57282 (Colpopexy, vaginal; extra-peritoneal approach) into abdominal hysterectomy codes. "The vaginal vault suspension code is dependent upon...

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