AHA Coding Clinic® for HCPCS - 2021 Issue 3; Ask the Editor

vNotes hysterectomy

A patient presented for a vaginal natural orifice transluminal endoscopic surgery (vNOTES) hysterectomy with bilateral salpingectomy. Following anterior and posterior colpotomies, a single port laparoscopic system was inserted through the vagina and pneumoperitoneum was established. The broad ligaments and utero-ovarian ligaments were coagulated and cut. Mesosalpinx on each side were clamped, the laparoscopic system was removed and the specimen sent to pathology. How is a vNOTES hysterectomy that combines vaginal and laparoscopic techniques without abdominal skin incisions coded? ...

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