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RESTITUTION OF UTERUS

Pat Posted Thu 11th of June, 2020 17:22:44 PM
My doctor performed a vaginal delivery and after the baby delivered, the uterus inverted & doctor had to put it back in. Is there a code for this procedure.
SuperCoder Answered Fri 12th of June, 2020 08:09:26 AM

Hi,

Thanks for your question.

If the physician manually reversed the inverted uterus at the same episode as delivery, add a modifier -22 to your global or delivery code. If the patient was removed to recovery following birth and then had to be taken back to put the uterus back into place report 59899 unlisted code and modifier 78. The physician will need to determine an appropriate CPT code equivalent to compare the work to, as some are harder than others.

When reporting a procedure with an unlisted code, submit a cover letter explaining the reason for choosing the unlisted code instead of a defined, active code. Include one or more similar codes and compare your service to those codes to justify the claim amount you are billing. Also include the operative notes or other relevant documentation to strengthen the claim and to avoid a possible denial. Your payers will consider claims with unlisted procedure codes on a case by case basis, and they will determine payment based on the documentation you provide.

Hope this helps.

Thanks.

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