tci Part B Insider - 2011 Issue 13

Part B Coding Coach: Converting Laparoscopic Cancer Surgery to Open? Read These Tips Before You Code

This Ob-gyn case study will show you how to properly convert your coding.If your ob-gyn converts a laparoscopic to an open procedure, your coding for endometrial cancer surgeries can drastically transform. Follow these three steps to ward against denials.Review This Op NotePreoperative diagnosis: Adenocarcinoma of the endometrium.Postoperative diagnosis: Same as above, but greater than 50 percent myometrial invasion, pathology pending.Operation performed: Laparoscopic assisted transvaginal hysterectomy (LAVH) with bilateral salpingooophorectomy, laparotomy with pelvic and periaortic node dissection, partial omentectomy, pelvic washings.Procedure: Exam of the pelvic organs revealed an 8-week-size uterus. The right and left ovaries...

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