Re: GYN: Coding conundrum

From: Gordon M. Goldman, M.D. (gmgoldman@sprintmail.com)
Thu Feb 26 20:33:48 1998


> 1. TAH BSO code with a -22 modifier for extra services? This is my
> first choice.
>
> 2. LAVH code with the modifier (is it -59? I'll look it up) that says
> you tried but couldn't do it, and then code a regular TAH BSO?
>
> 3. Should I code for the vaginal repair separately, or should this be
> part of the -22, if used.
>
> Personally, I favor choice 1 for all, sending an op note with the claim
> on paper.

Gary,

I think I would code LAVH with modifier -53 (I think) and then TAH/BSO.

BTW, I did my first TLH the other day. Neat operation. How do you code for that?

--
Gordon M. Goldman, M.D., FACOG
General OB/Gyn - Private practice
St. Louis, Mo.




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