garivo06 Posted Fri 21st of April, 2017 15:09:11 PM
Need clarification as to the separately resected mass is billable with TAH- and which cpt code apply
we began making a vertical incision from symphysis to just midway between symphyis and umbilical region. Incision was taken down to the fascia Exploration of the upper abdomen correctly revealed no evidence of carcinomatosis or ascites. Washing were taken and place on hold. There was a large mass greater than 15 cm very thin walled mostly cystic with no evidence of external papillations. There was noted arisin and replacing the right tube and ovary with litte torsion of ovary. there was obvious necrosis. The IP ligament was ligated and divided next we began the meticulous dissection of the mass off the disewall off the right ureter. once we were able to finally dissect the mass out of the culdesac and off the posterior wall of the uterus it was mobilized carefully onto the utero ovarian ligament where it eas clamped and remove intact and sent for frozen section. while waiting for results we completed the hysterectomy Frozen section revelead benign mucinous cystadenoma.
pathology report: ovary and fallopian tube SO Right ovary mucinous cystadenoam. 790 grm 14.2 x 10.6 x 9.0cm
Uterus tube and ovary left,hysterectomy with so
cervix no significant pathologic abnormality
endometrium atrophy no evidence of hyperplasiaor carcinoma
left ovary benign surface epithelial inclusion
left fallopian no significant pathologic abnormality.
thank you again Melanie W
SuperCoder Answered Mon 24th of April, 2017 03:19:44 AM
The resected mass is billable with Total Abdominal Hysterectomy. Following codes will be billed.
TAH - 58150
Resected mass (depending upon the size of lesion) : 49203 - 49205.
SuperCoder Answered Mon 24th of April, 2017 03:43:31 AM
Ignore the previous answer and consider this answer to be correct.
The Exploratory Laprotomy and Resection of large ovarian tumor cannot be billed separately with TAH. They will always be bundled. Also, for the mass removal, refer to the operative note for the size of ovarian tumor to choose the correct code (49203-49205).
Hope this helps!
garivo06 Posted Tue 25th of April, 2017 12:05:59 PM
Hi kind of confused on your answer.
Separately resected mass tumor is billable with 49203 -49205 depends on the size.
and the hysterectomy is also billable as 58150
is this correct ?
thank you so much .
SuperCoder Answered Wed 26th of April, 2017 00:50:12 AM
Yes, you got it right. Further queries are welcome!