Re: Coding question

From: Steve & Eryl Raymond (eryl@intekom.co.za)
Thu Nov 2 03:15:48 2000


This is not a TAH - it's a subtotal. Don't be horrified, I not infrequently find the fibroids and general scarring make getting the cervix out almost impossible and leave it in if there's no cervical pathology. As to the code you are going to use - I have no idea!

On 1 Nov 2000, at 15:28, K Dew wrote:

>
> Last week I did a TAH-BSO on a 42 year old G4P4 with an 18 week uterus
> (after Lupron no less!)
>
> She is 4'9", 200 pounds. I had to really struggle with this case and
> ended up needing to do a myomectomy before I could even approach the
> round ligaments. Making a long story short I needed to take this
> uterus out piecemeal, and to my horror, I needed to leave the cervix
> in because I simply could not reach even with the long instruments.
> (this lady, at appropriate weight, would be about a size 1, really
> narrow pelvis)
>
> I feel that the complexity of the surgery necessitates more than the
> simple coding for TAH-BSO but not sure how to do it
> Kevin Dew, MD





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