Only a Few Hours Left! E/M Coding, Documentation, and EMR Tips | Earn 1 AAPC CEU Register Now

Regular Price: $24.95

Ask an Expert Starting at $24.95

Have a medical coding question? Get definitive answers from TCI SuperCoder's Ask an Expert.

Browse Past Questions By Specialty

+View all
Robin Posted 6 Year(s) ago

My doctor wants to proceed with surgery on a patient. She will be doing Excision vaginal cuff granulation tissue under anesthesia. What code should I use for this?

SuperCoder Posted 6 Year(s) ago

For the repair/excision of the vaginal cuff, you will be confined to using 58999 (Unlisted procedure, female genital system [nonobstetrical]). Be sure to submit your op report along with a cover letter that explains in simple, straightforward language exactly what your ob-gyn did. Remember to explicitly reference the nearest equivalent listed procedure in your explanatory note.

As a diagnosis, you should use 616.8 (Other specified inflammatory diseases of cervix, vagina, and vulva) -- if this procedure is happening quite some time following the original surgery. If the ob-gyn indicates that this involves disruption of the internal sutures, you can use 998.31 (Other complications of procedures, not elsewhere classified; disruption of internal operation wound).

Posted by Robin, 6 Year(s). There are 2 posts. The latest reply is from SuperCoder.

Related Topics