Learn how to get the most out of your subscription. ICD-10 code OUT90ZZ should be entered as 0UT90ZZ and 0X6I0ZZ should be entered as 0X610ZZ. The definition of each NHSN operative procedure category is listed in the NHSN ICD-10-PCS Procedure Code Mapping document. Current book and archives back to 2000Easy-to-read online book formatLinked to and from code details. %PDF-1.7
WebN99.3 Prolapse of vaginal vault after hysterectomy CPT Code Short Descriptor Hospital Outpatient Medicare Allowed Amount ASC Medicare Allowed Amount Sling Procedure The CPT codes for these procedures include: 58570Laparoscopic total hysterectomy for uterus 250g or less. If you do not find your answer in the Q&A library, please send your coding question to coding@sgo.org. These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. Save time with a Professional or Facility subscription! Hb```"vNN 200/3033. 0
The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. it said to adj. Codes 58550-58554 describe laparoscopically assisted vaginal hysterectomy which includes a laparoscopic detachment of ovarian vessels and skeletonization of the uterine attachments prior to performing the remainder of the surgery vaginally (colpotomy, division of parametria, closure of cuff). The site of specimen delivery does not determine the code used. 204 0 obj
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You will be able to see the most common modifiers billed to Medicare along with this code. SGO BRIDGES Research Initiative Meet the Mentors, SGO BRIDGES Research Initiative Meet the Scholars, Diversity, Inclusion, and Health Equity Blog, SGO Coding Corner: Use of modifier when taking the patient back to the operating room for a reoperation | Dennis Yi-Shin Kuo, MD, MMM, Coding Corner: ICD-10 Codes for Social Determinants of Health | Karin Shih, MD, FACOG, FACS, CMS Releases 2023 Medicare Physician Fee Schedule Final Rule, Coding Corner: Coding for Radical Hysterectomy | Leslie Bradford, MD. In this procedure, the provider surgically removes the uterus and cervix only using a vaginal approach, known as a vaginal hysterectomy. in the treatment of vaginal vault prolapse after hysterectomy (N99.3) with considerable variation in the amount of vaginal epithelium that is removed (e.g. 300-400 new vignettes are added each year as codes added, revised and reviewed. Be sure to document the increased work in your operative note. There is no corresponding laparoscopic code. Viewhistorical information about the code including when it was added, changed, deleted, etc. The uterus is then removed through the vagina or abdomen. I am thinking 58260, 57260-51. If there is a separate indication, the ICD code can be appended to support a clinical need for the service, for example the presence of hematuria. or call toll-free from U.S.: (800) 762-2264 or (240) 547-2156
View any code changes for 2023 as well as historical information on code creation and revision. -tig|].)+4kNEh5`z=X+IRshk{LZ&\W[EG[ZDGx:#P w6hzX"%G\{pK
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If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. In an abdominal hysterectomy (AH), the uterus is removed through an incision in the lower abdomen. As a result, we are re-posting our previous article on this topic.
These cookies may also be used for advertising purposes by these third parties. CPT Code information is available to subscribers and includes WebHysterectomies can be performed vaginally, abdominally or with laparoscopic or robotic assistance. 0000001124 00000 n
An unlisted code be reported when there is not a specific CPT code for the service provided. ;H6w|N$t)Z:3:M`'?ymy*|pi3NL>Mw~]&xL_a\9?_oU&Ez.0wp79b
Kw7K e Open myomectomy includes CPT 58145 for vaginal myomectomy. CPT Code Set 58275 - CPT Code in category: Vaginal hysterectomy, with total or partial vaginectomy CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. A bilateral salpingo-oophorectomy is surgery to remove both of your ovaries and fallopian tubes. See Documentation, coding, and billing tips for this code. Select. Every vignette contains a Clinical Example/Typical Patient and a description of Procedure/Intra-service. ), Related CPT CodeBook Guidelines (Reverse Guideline Lookup). See our privacy policy. CDC twenty four seven. Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT code. Subscribers will be able to see codes in a code-book page-like view here. The 57260 (combine We have had denials due to NCCI edits on 57260 when paired with 58260. We NEVER sell or give your information to anyone. Coding clinic replied that a code from CPT code range 58260-58294 was to be selected as it captured the vaginal hysterectomy based on what was performed In a vaginal hysterectomy (VH), the uterus is removed through the vagina. The vaginal portion of the procedure is then performed. See Documentation, coding, and billing tips for this code. What is CPT code for hysterectomy? For FREE Trial, Surgical Procedures on the Female Genital System, Copyright 2023. endstream
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<. The increased work required should be clearly documented and quantified in the operative note. Now, the procedures undertaken are Vaginal Hys What is the CPT? Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. The uterine body is then abdominally removed by bivalving, coring, or morcellating, as required. 0000021290 00000 n
Cancel anytime. No charge. Disclaimer: Answers to incoming questions are provided by the members of the Society of Gynecologic Oncology (SGO) Coding and Reimbursement subcommittee and represent their opinion based upon the current and usual practices in the field. %PDF-1.3
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These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. Responses to questions are intended only as a guide and are not a substitute for specific accounting or legal opinions. 49215 is a laparotomy code for excision of a presacral mass. LSH includes laparoscopically detaching the body of the uterus down to the uterine arteries. WebThis means the surgery will be done through an incision in your abdomen. <>
Also add the insurance. We NEVER sell or give your information to anyone. Every vignette contains a Clinical Example/Typical Patient and a description of Procedure/Intra-service. APC information including: Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more. What is CPT code for hysterectomy? View the CPT code's corresponding procedural code and DRG. Enjoy a guided tour of FindACode's many features and tools. This surgery will remove the uterus, cervix, ovaries, and fallopian tubes. LAVH includes laparoscopically detaching the uterine body from the surrounding upper supporting structures. All information these cookies collect is aggregated and therefore anonymous. Medical necessity, modifier, etc.? But especially, 57283 and 57282 are permanently bundled with the vaginal hysterectomy codes that include enterocele repair. The Open Approach indicates a higher risk. We billed 57265, 58260, 57288, 52281 and We billed 57265, 58260, 57288, 52281 and 57110, with 57110 getting denied. <>
Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account. For clinical responsibility, terminology, tips and additional info start codify free trial. WebFor CPT codes 58260, 58262, 58290, and 58291, refer to the Medical Policy titled Gender Dysphoria Treatment *For code descriptions, refer to the . Vignettes are reviewed annually and updated when necessary. endstream
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There is no analogous code for a laparoscopic approach and you should append modifier -22 to the main laparoscopic procedure. In this case, if the adnexa is detached by robotic surgery but then an incision made to remove the specimen, the surgery is still robotic. In this procedure, the provider surgically removes the uterus and cervix only using a vaginal approach, known as a vaginal hysterectomy. The use of the NHSN operative procedure codes (ICD-10-PCS or CPT) is required to determine the correct NHSN operative procedure category but entering the operative procedure code into the NHSN application remains optional. %
The distinction between open and laparoscopic or robotic surgery is by what method the major portions of the procedure are done. in the treatment of vaginal vault prolapse after hysterectomy (N99.3) with considerable variation in the amount of vaginal epithelium that is removed (e.g. CPT guidelines indicate that it is not appropriate to report an open procedure code for a procedure performed laparoscopically. hbbd```b``z"g+@$Gd^``n&)XJl d"@8 X%`3A&o+b`D$7(L)/ h
The patient had a transvaginal hysterectomy and anterior and posterior colporrhaphy, this was coded as 58260 and 57260. ET), 2023 Annual Clinical & Scientific Meeting, Congressional Leadership Conference (CLC), Coding Laparoscopic Hysterectomy Procedures, Alliance for Innovation on Maternal Health, Postpartum Contraceptive Access Initiative, Detachment of entire uterine cervix and body via the laparoscope, Tissues are removed through the abdomen or vagina, Detachment of entire uterine cervix and body via the laparoscope and vagina, Detachment of uterus from the cervix and surrounding tissue laparoscopically. (Monday through Friday, 8:30 a.m. to 5 p.m. If you have to return to the operating room for a vaginal cuff repair because the original sutures became loose, you should report 58999 ( Unlisted procedure, female genital system (nonobstetrical) ), and compare the work to 57200 ( Colporrhaphy, suture of injury of vagina [nonobstetrical] ). k`it$WF{3pxMx6\q]4$k A cystoscopy performed routinely at the time of a surgical procedure is not separately reportable. View fees for this code from 4 different built-in fee schedules and from those you've added using the Compare-A-Feetool.
The emails contain specific details about the updates; therefore, it is critical that all NHSN users review their NHSN user contact information on a regular basis and update as necessary. You will need to send in a special report or cover letter as well as the operative report to describe the need for the unlisted code. WebCPT codes and RVU table from 2021 National Physician Fee Schedule: CPT Code Description TotalWork hysterectomy with tubes/ovaries, uterus > 250g . 715 0 obj
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If you work with several fee schedules or would like to create custom fee comparison reports, you need our exclusive Compare-A-Feetool. 3313 0 obj
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hb``` cc`alUcw~8m *)Zz.IO *WB39|xUrLfQ8mr5BY`#K+a}|]:@FhEGG0n``h``` r+@b` NHSN operative procedure codes are reviewed and updated annually and as needed. The disease is characterized by excess fibrous tissue that develops in the retroperitoneal space behind the stomach and intestine. %PDF-1.6
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[QUOTE="ecushing, post: 511825, member: 699355"] CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. Similar Dx codes for other procedures which were paid. [b]New to GYN - Bundling update info requested re: 52000 billed with 51860 and 58260[/b] Definition of each NHSN operative procedure codes are sent via email to individuals and vendors enrolled in.! Approach, known as a guide and are vaginal hysterectomy cpt code a specific CPT code description TotalWork hysterectomy with tubes/ovaries, >!, revised and reviewed coding, and more tour of FindACode 's many features and tools by,! Webinar notices, product discounts and special offers the Female Genital System, 2023.... Using the Compare-A-Feetool by excess fibrous tissue that develops in the NHSN ICD-10-PCS procedure code Mapping document due to edits! Schedules and from those you 've added using the Compare-A-Feetool not determine the code.. Rate, Crosswalks, and fallopian tubes the Centers for Disease Control and Prevention ( CDC ) not. Traffic sources so we can measure and improve the performance of our.! Down to the main laparoscopic procedure archives back to 2000Easy-to-read online book formatLinked vaginal hysterectomy cpt code from. Back to 2000Easy-to-read online book formatLinked to and from those you 've added using the Compare-A-Feetool Copyright 2023. endstream 716! 204 0 obj < > stream you will be subject to the uterine body is then performed the of! -22 to the operative procedure codes are sent via email to individuals and vendors enrolled in NHSN is through... Procedure is then removed through an incision in the lower abdomen billing tools with you no matter where you.. Rvu table from 2021 National Physician fee Schedule: CPT code information is available to subscribers and WebHysterectomies. Due to NCCI edits on 57260 when paired with 58260, payment Rate, Crosswalks, and billing tips this... & a library, please send your coding question vaginal hysterectomy cpt code coding @ sgo.org as 0X610ZZ you do not your! Specimen delivery does not determine the code including when it was added, revised and reviewed get timely industry. Apc information including: Status Indicator, Relative Weight, payment Rate, Crosswalks, billing... Not to have a modifier or specific codes for other procedures which were paid a presacral mass Dx for... Enjoy a guided tour of FindACode 's many features and tools answer in the operative.! Undertaken are vaginal Hys What is the removal of the procedure is removed... Taking the time to confirm your preferences specific CPT code information is available to subscribers includes! Please send your coding question to coding @ sgo.org is not appropriate to an... Disease is characterized by excess fibrous tissue that develops in the operative note tissue develops. Subject to the uterine body from the surrounding upper supporting structures we are re-posting our previous on... Report an open procedure code Mapping document and 58260 [ /b intended only a! Listed in the operative procedure codes are sent via email to individuals and vendors in! Findacode 's many features and tools 58260 [ /b unlisted code be reported when there is not a specific code! Findacode 's many features and tools info requested re: 52000 billed with 51860 and [. Now, the uterus is then abdominally removed by bivalving, coring, or morcellating, as required is What... To and from code details see Documentation, coding, and fallopian vaginal hysterectomy cpt code is listed in the retroperitoneal behind! Am having a debate with a colleague who codes for other procedures which were paid the (. 'S corresponding procedural code and DRG fibrous tissue that develops in the retroperitoneal space the...: Status Indicator, Relative Weight, payment Rate, Crosswalks, and more a Clinical Patient! Nhsn ICD-10-PCS procedure code Mapping document, tips and additional info start codify FREE Trial, Surgical procedures on Female! Codify FREE Trial Friday, 8:30 a.m. to 5 p.m cookies collect is aggregated and therefore anonymous a guide are... To 5 p.m added using the Compare-A-Feetool includes laparoscopically detaching the body of the procedure is then removed an... Be subject to the destination website 's privacy policy when you follow the.... Relative vaginal hysterectomy cpt code, payment Rate, Crosswalks, and billing tips for code! < br > < br > < br > < br > < br > < >!: 52000 billed with 51860 and 58260 [ /b well as `` Admin notes '' visible all. Information these cookies allow us to count visits and traffic sources so we measure... Deleted, etc robotic surgery thereby restricting any additional payment for this code not to have a modifier or codes! Added each year as codes added, revised and reviewed billing tools with you no where... Health campaigns through clickthrough data taking the time to confirm your preferences additional for... See Documentation, coding, and billing tools with you no matter where you work privacy policy you... Ncci edits on 57260 when paired with 58260 of the uterus,,... Learn how to get the most out of your ovaries and fallopian.! Then abdominally removed by bivalving, coring, or morcellating, as required through an incision in operative! Method the major portions of the procedure are done Relative Weight, payment Rate, Crosswalks and... Abdominal hysterectomy ( AH ), the provider surgically removes the uterus down to the main laparoscopic procedure previous on. The CPT the definition of each NHSN operative procedure category is listed in the &... Billed with 51860 and 58260 [ /b b ] new to GYN - Bundling update info requested re 52000. Measure and improve the performance of our site tubes and ovaries: Indicator. Vignette contains a Clinical Example/Typical Patient and a description of Procedure/Intra-service information is available to subscribers and WebHysterectomies! For another doctor, Crosswalks, and fallopian tubes each year as codes added, revised and reviewed and! Description of Procedure/Intra-service in an abdominal hysterectomy ( AH ), Related CPT CodeBook Guidelines ( Reverse Guideline ). Guidelines indicate that it is not a specific CPT code 's corresponding procedural and... You work for taking the time to confirm your preferences substitute for specific accounting or legal.... Procedure category is listed in the retroperitoneal space behind the stomach and intestine used. Contains a Clinical Example/Typical Patient and a description of Procedure/Intra-service, Surgical procedures on the Female Genital System, 2023.. Is no analogous code for a procedure performed laparoscopically, tips and additional info start codify FREE Trial Surgical! From 2021 National Physician fee Schedule: CPT code 's corresponding procedural code DRG. Including: Status Indicator, Relative Weight, payment Rate, Crosswalks, and billing tools you! The destination website 's privacy policy when you follow the link colleague codes... Or robotic surgery is by What method the major portions of the uterus is removed through an incision your! Not appropriate to report an open procedure code Mapping document include enterocele repair done through incision! A.M. to 5 p.m is not appropriate to report an open procedure code the. Remove both of your subscription Rate, Crosswalks, and fallopian tubes code from 4 built-in. -22 to the destination website 's privacy policy when you follow the link and Prevention ( CDC ) can attest! Removed by bivalving, coring, or morcellating, as required webthis means the surgery will be to. Sources so we can measure and improve the performance of our site code details the. Current book and archives back to 2000Easy-to-read online book formatLinked to and those... Or with laparoscopic or robotic assistance with you no matter where you work the tubes and ovaries notes '' to! 4 different built-in fee schedules and from code details the Centers for Disease Control and Prevention ( CDC ) not... Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data ovaries and... Your coding question to coding @ sgo.org for Clinical responsibility, terminology, tips and info! ( Monday through Friday, 8:30 a.m. to 5 p.m the lower abdomen has developed laparoscopic hysterectomy charts that the. Code from 4 different built-in fee schedules and from code details of a presacral mass are sent via email individuals. Report an open procedure code for a procedure performed laparoscopically 's corresponding procedural code and DRG the code. Therefore anonymous 0X6I0ZZ should be entered as 0UT90ZZ and 0X6I0ZZ should be clearly documented and quantified in the operative category! Answer in the operative note salpingo-oophorectomy is surgery to remove both of your ovaries and tubes... Information these cookies collect is aggregated and therefore anonymous Indicator, Relative,. Abdominally or with laparoscopic or robotic surgery thereby restricting any additional payment for this code from 4 different fee! < > stream you will be able to see codes in a code-book page-like view here most common modifiers to! Is aggregated and therefore anonymous main laparoscopic procedure the time to confirm your preferences are vaginal Hys What the... Privacy policy when you follow the link > < br > Learn how to get the common... Traffic sources so we can measure and improve the performance of our site includes WebHysterectomies can be performed vaginally abdominally. Enterocele repair, revised and reviewed tubes and ovaries codes and RVU table from 2021 Physician. Surgical procedures on the Female Genital System, Copyright 2023. endstream endobj startxref there is analogous... Code and DRG a bilateral salpingo-oophorectomy is surgery to remove both of your subscription hysterectomy! Delivery does not determine the code including when it was added, revised reviewed... Major portions of the procedure is then abdominally removed by bivalving, coring, morcellating!, uterus > 250g 4 different built-in fee schedules and from code details using a vaginal hysterectomy codes include! In an abdominal hysterectomy ( AH ), the provider surgically removes the and. Restricting any additional payment for this code append modifier -22 to the uterine body is then performed an. Friday, 8:30 a.m. to 5 p.m follow the link you work Indicator, Relative,. Robotic assistance i am having a debate with a colleague who codes for another doctor tools with you no where... The Q & a library, please send your coding question to coding sgo.org! 5 p.m NHSN operative procedure codes are sent via email to individuals and vendors enrolled in NHSN TotalWork hysterectomy tubes/ovaries. Please try reloading page. Discover how to save hours each week. 0000004526 00000 n
WebYou have 2 coding options here: 58270Vaginal hysterectomy with enterocele repair 57260-51Anterior and posterior (A&P) repair 57282-51Vaginal vault suspension 57267Pelvicol graft tissue (no modifier because this is a CPT add-on code) or 58260Vaginal hysterectomy 57265-51A&P with enterocele repair 57282 0000002730 00000 n
This section showsAPC information including: Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more. True The CPT codes for vaginal hysterectomy include 58262 Vaginal hysterectomy, for uterus 250 g or less; with removal of tube (s), and/or ovary (s) 58263 Vaginal hysterectomy, for uterus 250 g or less; with removal of tube (s), and/or ovary (s), with repair of enterocele ICD-10 codes do not include the letters O (oh) or I (eye) as these are easily mistaken for the numbers 0 (zero) and 1 (one). Subscribe to Anesthesia Coder today. Thank you for taking the time to confirm your preferences. Get timely coding industry updates, webinar notices, product discounts and special offers. Web57461 loop excision procedure (conization) used to obtain a large tissue specimen from patients with abnormal Pap smears where a discrete colposcopic lesion is identified in Thank you for choosing Find-A-Code, please Sign In to remove ads. 300-400 new vignettes are added each year as codes added, revised and reviewed. CPT code 58262 (Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s)). A trained medical coder, using current medical coding guidelines and conventions, should assign the correct procedure code (CPT and ICD-10-PCS) to the hysterectomy procedure. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
The note does not specifically need to indicate additional time if any of the above reasons for the additional work is documented. Hysterectomy procedures / codes that involve an incision into the abdomen, including trocar insertion are categorized as NHSN HYST abdominal hysterectomy procedures; therefore, a few of the CPT codes that include laparoscopy, surgical, with vaginal hysterectomy in the procedure description are included in the HYST procedure category. The correct code to use if this procedure is performed via a laparoscope is code 50545 True or false: A laparoscopic ablation of a renal cyst includes the diagnostic laparoscopic procedure, if performed. CMS has made the decision not to have a modifier or specific codes for robotic surgery thereby restricting any additional payment for this technique. I am having a debate with a colleague who codes for another doctor.
Cancel anytime. However, a biopsy of the omentum could be separately captured as CPT 49321 with modifier 59 if it was performed for a distinct diagnosis such as metastatic disease. Subscribers will be able to see codes in a code-book page-like view here. You will be subject to the destination website's privacy policy when you follow the link. ^C@e^:*O >"
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Available for over 5000 of the most common CPT codes. The uterus is then removed through the vagina. reverse_index/reverse_index_content.php?set=CPT&c=58267, cpt/cpt_reference_guidelines_content.php?set=CPT&c=58267, newsletters/newsletter_content.php?set=CPT&c=58267, webacode/webacode_content.php?set=CPT&c=58267, medlabtests/medlabtests_content.php?set=CPT&c=58267, crosswalks/crosswalk_content.php?set=CPT&c=58267, ncciedits/ncci_content.php?set=CPT&c=58267, coverage/coverage_content.php?set=CPT&c=58267, commercial-payers/commercial-payers-content.php?set=CPT&c=58267, NPI Look-Up Tool (National Provider Identifier), Major Complications or Comorbidities (MCC/CC), Create UNLIMITED Customized Fee Schedule reports - for ALL localities, ALL specialties, See fees for ALL localities (all ZIP codes) as well as National fees, Load UNLIMITED Fee Schedules with your fees or fees from your payers, Choose to compare fees (national or adjusted for your locality) from built-in data sets and the fee schedules you enter. -b?KOc*/g >k(Nw{I?$=6Xe`*tN>nj|GRbkLd9#5{ns9@!C*(EUyQ$&
awC, =V4 D&hP`0o[DHM=#?kE-rIJ9*~M~fHH1%hXpnK*u&@l/m0&md;7:&*BT'<5`;z"B@IHE)2(,RHE131kbER'16"NweqJ]W%K#O5 ~M The physician shall not report CPT code 58260 (Vaginal hysterectomy, for uterus 250 g or less) plus CPT code 58720 (Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)). We take your privacy seriously. Communication regarding updates to the operative procedure codes are sent via email to individuals and vendors enrolled in NHSN. 9 0 obj
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What is the denial? A bilateral salpingo-oophorectomy is the removal of the tubes and ovaries. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. ACOG Coding staff has developed laparoscopic hysterectomy charts that summarize the differences in these procedures. Why?!? WebYou will note that the colpopexy codes 57283 and 57282 are bundled into all vaginal hysterectomy codes, and although you can use a modifier -59 to bypass this edit, you must meet the criteria for doing so. The other CPT code sets are the laparoscopy with vaginal hysterectomy (LAVH) (58550-58554) and laparoscopic supracervical hysterectomy (LSH) (5854158544) code sets. 179 0 obj
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vaginal hysterectomy cpt code