AHA Coding Clinic® for ICD-9 - 2012 Issue 1

Total Laparoscopic Abdominal Hysterectomy and Laparoscopically Assisted Vaginal Hysterectomy

The Central Office on ICD-9-CM has recently received questions related to the differences in code assignment between total laparoscopic abdominal hysterectomy (TLH) procedures and laparoscopically assisted vaginal hysterectomy procedures (LAVH). Effective October 1, 2006, new procedure codes were created to distinguish between laparoscopic hysterectomies that utilize tiny incisions and traditional hysterectomies that require a large incision. For additional information on the other types of laparoscopic hysterectomy procedures, please refer to Coding Clinic, Fourth Quarter 2006, pages 130-134. An important factor in assigning the correct ICD-9-CM hysterectomy procedure code is to determine what structures were detached and how they were...

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