Repair of incidental bladder cystotomy 51860 (Cystorrhaphy, suture of bladder wound, injury or rupture; simple) or 51865 ( complicated). The exploratory laparotomy is always bundled into a more extensive procedure, so you would not report it separately.
There are two potential methods to code the bladder repair, depending on the degree of consultation required of the urologist.
If the gynecologist performing the hysterectomy and cystotomy informs your doctor of the laceration of the bladder that must be closed, you cannot bill for a consultation. Therefore, you should code 51860 (Cystorrhaphy, suture of bladder wound, injury or rupture; simple) for a simple procedure, or 51865 (… complicated) if the procedure can be considered complicated.