tci Part B Insider - 2014 Issue 32

Part B Coding Coach: Engage These 3 Challenges for a Clean Endometrial Cancer Surgery Claim

You need to know whether your ob-gyn did a limited or complete lymphadenectomy. If your ob-gyn treats a patient with endometrial cancer, you’ll find that procedure codes specific to this complicated type of surgery are hard to come by. Read the following op note and see what steps our experts recommend you take when you tackle these three challenges: deciding whether the ob-gyn converted a laparoscopic to an open procedure, finding a code for a partial omentectomy, and asking your ob-gyn questions about the lymphadenectomy. First, Read Over This Op Note Preoperative diagnosis: Adenocarcinoma of the endometrium. Postoperative...

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