Total Laparoscopic Abdominal Hysterectomy and Laparoscopically Assisted Vaginal Hysterectomy

What is the procedure code assignment for a laparoscopic total abdominal hysterectomy when the uterus is pulled out through the vagina? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This Coding Clinic article addresses how ICD-9-CM procedure coding differentiates laparoscopic hysterectomy approaches based on the operative technique and structures detached, rather than the final route of specimen removal. It is relevant for inpatient coders, HIM professionals, and clinicians documenting hysterectomy procedures, especially when laparoscopic and vaginal components are both present. The article also touches on how related gynecologic procedures and documentation details affect code assignment.

Why This Topic Matters

Accurate classification of hysterectomy approach affects ICD-9-CM procedure reporting and prevents confusion when the uterus is removed through the vagina after laparoscopic detachment.

Article Sections

  1. Coding Clinic context and ICD-9-CM update

    Introduces the coding questions addressed by the article and the timing of procedure-code changes affecting laparoscopic hysterectomy reporting.

  2. How to determine the correct hysterectomy procedure code

    Explains the documentation elements and operative approach considerations used to distinguish between related hysterectomy procedures.

  3. Laparoscopic total abdominal hysterectomy

    Describes the laparoscopic total abdominal hysterectomy approach and the broad operative sequence associated with that procedure type.

  4. Laparoscopically assisted vaginal hysterectomy

    Describes the laparoscopically assisted vaginal hysterectomy approach and the broad division of laparoscopic and vaginal components.

  5. Procedure code assignment questions and related coding guidance

    Presents question-and-answer style coding guidance for hysterectomy scenarios and associated gynecologic procedures.

What You Will Learn

  • How the article distinguishes between laparoscopic hysterectomy procedure categories
  • What documentation elements are emphasized for procedure code assignment
  • How related gynecologic procedures are discussed in connection with hysterectomy coding
  • Why the route of specimen removal is not the main determinant of code selection

Who Should Read This

  • Inpatient coders
  • Health information management professionals
  • Clinical documentation specialists
  • Gynecology and surgical documentation staff

Codes Discussed


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