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The surgeon enters the space of Retzius and re-attaches the lateral vagina to the level of the white line, or arcus tendineus fasciae pelvis. This cookie is set by GDPR Cookie Consent plugin. Start enjoying your FindACode.com subscription today. Obstetrics and Gynecology medical billing and coding is challenging, as it involves numerous rules related to reporting the procedure accurately. ), Related CPT CodeBook Guidelines (Reverse Guideline Lookup). Coding clinic replied that a code from CPT code range 58260-58294 was to be selected as it captured the vaginal hysterectomy based on what was performed during the operation and the weight of the uterus and that although a laparoscopic device was utilized, the hysterectomy was still performed vaginally. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. The vaginal apex is entered and the cervix and uterus are detached from the remaining supporting structures. How long does a 5v portable charger last? If you have both ovaries taken out, you will enter menopause. approach (separate procedure)-includes suspension of the vaginal posterior fornix. All payers will require diagnosis codes to support the medical necessity for the procedure(s). You might not need to consider hysterectomy if medications or less invasive gynecological procedures manage your symptoms. Youll take medication for pain. For additional quantities, please contact [emailprotected] Thanks, P preserene Guest Messages 991 Best answers 0 Nov 24, 2010 #2 A member of your surgical team will clean the surgical area with a sterile solution before surgery. 58267 - CPT Code in category: Vaginal hysterectomy, for uterus 250 g or less. We are looking for thought leaders to contribute content to AAPCs Knowledge Center. Withers formally held the office of treasurer for the Olympia, Wash., local chapter. Lisa L Withers, RHIA, CIRCC, CCS, is an Ambulatory Surgery Unit QI compliance auditor and trainer with almost 25 years of coding, chargemaster, payment methodology, catheterization laboratory, and interventional radiology coding/charging and revenue integrity. The CPT code 57260 (combined anteroposterior colporrhaphy) can now be billed at the time of vaginal hysterectomy without any modifier, as this coding edit has been dropped. Peggy is a national speaker for AAPC. If your ovaries werent removed during surgery and you still had periods before your surgery your ovaries continue producing hormones and eggs until you reach natural menopause. CPT 58262 in section: Vaginal hysterectomy, for uterus 250 g or less CPT Code Set 58262 - CPT Code in category: Vaginal hysterectomy, for uterus 250 g or less CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. 1. Outsourcing medical billing and coding tasks to a reliable medical billing and coding company can help physicians simplify their documentation process. Every vignette contains a Clinical Example/Typical Patient and a description of Procedure/Intra-service. Mayo Clinic is a not-for-profit organization. Infundibulopelvic ligaments are ligated if the tubes and ovaries are removed. Table of Medical Services and Outpatient Services CPT Code Descriptions (continued) CPT Code Description 58291 Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s) 58292 Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s), with repair of enterocele 58294 . <> Calculated for National Unadjusted (00000), Clinical Labor (Non-Facility)- Direct Expense, Additional Code Information (Global Days, MUEs, etc. The uterus is then removed through the vagina. 3 0 obj The patient was taken to the OR, where her anesthetic was induced. The 58571 and 52000 meet the criteria to bill separately, a modifier 51 would be correct appended to the 52000. As part of the procedure, the surgeon will make an incision inside your vagina to get to the uterus. Total laparoscopic hysterectomy (TLH) 58570-58575 The laparoscope is used to detach the structures that can be removed through the vagina or through the trocars. The uterus is then removed through the vagina or abdomen. A laparoscopically assisted vaginal hysterectomy involves use of the laparoscope to guide the procedure and visualize structures in addition to detaching the uterine body from the surrounding upper supporting structures (such as the infundibular pelvic and round ligaments), while the vaginal portion of the procedure involves an incision being made within the vagina to detach the cervix and uterus from the remaining supporting structures. Laparoscopic supracervical hysterectomy (LSH) 58541-58544 The structures are detached through the scope and tissue is morcellated* into smaller pieces and removed through the scope. This cookie is set by GDPR Cookie Consent plugin. The round ligaments were divided bilaterally, opening up the anterior and posterior leaves of the broad ligaments. I am wondering what order I should enter these codes. x[YoH~fx`KfhHDI3C6j7_o>>Wz~~S_~)T;8Uk\o~?$Fu0)k[xQN?iL*`2^G:oL7E3m&w\@]BXa1 B-hvI4=?&,e|) L=MBu;';->kz?o_} #C.AYu:1,Lx* Lu%E7[ss=$1nnuu'z_u'/if|AD)>\x`2g7o3W@R|w2:robKN\C]^H`J;KaX?v- +#]s-ayqHw\d^%i NHr8 jV"jZ+IIfUCg_#VEEZd k-0K0j1N?\6+u;|R_?~ -@o2`O *S~DFEO)L]nvQ-'P1Y y.X4Y>Pr + ,Am,h8 These cookies will be stored in your browser only with your consent. Frequently asked questions. For those who are undergoing vaginal hysterectomy, regional anesthesia will be preferred as it will block the sensation in the lower half of your body. Available for over 5000 of the most common CPT codes. What is the ICD 10 code for hysterectomy? If sadness or negative feelings interfere with your enjoyment of everyday life, talk to your doctor. Some payers no longer reimburse for procedures performed via power morcellator. The robot was undocked, the ports removed, allowing escape of the pneumoperitneum. All of these organs are part of your reproductive system and are situated in your pelvis. This, in addition to the laparoscopic radical hysterectomy with pelvic lymphadenectomy code (58548), is the third set of CPT codes addressing the laparoscopic approach to hysterectomy. Cancel anytime. This, in addition to the laparoscopic radical hysterectomy with pelvic lymphadenectomy code (58548 Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed), is the third set of CPT codes addressing the laparoscopic approach to hysterectomy. Website Design by, Last updated Dec 5, 2022 | Published on Oct 30, 2018, The ICD-10 code changes that came into effect on O, A leading cause of irreversible blindness, #Glauco, During the COVID-19 health emergency, #Medicare pa, #Hemochromatosis is an inherited liver disorder th, #PhysicalTherapists often face denials due to elig, Have you made a New Year resolution to improve you, January is Cervical Health Awareness Month, Glaucoma Coding Guidelines A Common Diabetes-related Eye Disease. First degree prolapse is incomplete and the uterus drops to the upper portion of the vagina. ![e& O{Q*#andN7 View fees for this code from 4 different built-in fee schedules and from those you've added using the Compare-A-Feetool. N70-77 Inflammatory diseases of female pelvic organs Since no CPT code includes both vaginal hysterectom y and anteroposter ior (A/P ) repair, code 57260 also is reported. First, the reason for the cystoscopy is due to abdominal pain and not to check the work of the lap surgery. Thank you for choosing Find-A-Code, please Sign In to remove ads. The needle was removed and replaced with a 12 mm port. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. Insufflation with CO2 was done in the usual manner. Sling operation for SUI 57288-51 Multiple procedures Learn how to get the most out of your subscription. CPT coding for laparoscopic hysterectomy is based on the size of the uterus and the method used to complete the procedure. LSH includes laparoscopically detaching the body of the uterus down to the uterine arteries. Stilley is member of the Moore, Okla., local chapter. 710 became effective on October 1, 2021. CPT Vignettes illustrate code use through sample patientexamples. We NEVER sell or give your information to anyone. Both procedures allow your surgeon to remove the uterus vaginally while being able to see your pelvic organs through a slender viewing instrument called a laparoscope. Anterior colporrhaphy (57240 Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed) involves the bladder; a posterior colporrhaphy (57250 Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy) involves the rectal area. When both anterior and posterior colporrhaphy are performed, report 57260 Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed. Peggy Stilley, CPC, CPMA, CPC-I, CPB, COBGC, is employed by OSOI in Norman, Oklahoma as revenue integrity auditor and billing manager. The average period of hospital stay after the procedure is generally two days or possibly longer. The new code, 58575, Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed, has been valued at 53.62 RVUs. | Terms and Conditions of Use. Going beyond just getting the job done, we can help create sustainable improvement as part of your medical billing team. The coding solution depends on documentation. This surgery includes laparoscopic supracervical hysterectomy (LSH) using CPT 58541 to CPT 58544. A colporrhaphy repairs a prolapse into the vaginal canal. A uterine manipulator can be used to assist with the laparoscopic portion of the colpotomy procedure. Case 2: urodynamic 51729, 51741, 51784, 51797, 52000. Modifier 59 can be reported for the posterior mesh because its a separate location. To support medical necessity, report an ICD-10-CM code for stress urinary incontinence (SUI), if documented. 58263 - CPT Code in category: Vaginal hysterectomy, for uterus 250 g or less. Is this correct? Both ureters were visualized, were peristalsing, and appeared to be of normal caliber. Each of the code sets are subdivided into uteri less than or greater than 250 grams and with or without removal of tube (s) and/or ovary (s). CPT Code Set. Simplify Medical coding Institute. Codes include: The CPT codes for vaginal hysterectomy include - 58260 - Vaginal hysterectomy, for uterus 250 g or less 58262 - Vaginal hysterectomy, for uterus 250 g or less; with removal of tube (s), and/or ovary (s) 58263 - Vaginal hysterectomy, for uterus 250 g or less; with removal of tube (s), and/or ovary (s), with repair of enterocele Discover how to save hours each week. Earn CEUs and the respect of your peers. Bilateral ureteric jets were visualized. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. vaginal . Do not separately report cystocele with 57284 or 57285. D06 Carcinoma in situ of cervix uteri Along with the specific surgical approach and the extent (whether its total or partial) of the hysterectomy, accounting for related performed procedures is vital to code selection. Youll lie on your back, in a position similar to the one youre in for a Pap test. If you work with several fee schedules or would like to create custom fee comparison reports, you need our exclusive Compare-A-Feetool. Consider each procedure when making the determination. 57270 - Repair of enterocele, . 57285 vaginal approach Based on the technique the most appropriate procedure code for vNOTES hysterectomy is code 35750-00 [1269] Laparoscopic assisted vaginal hysterectomy . The uterus is finally removed through the vagina. Surgical risks are quite higher in women who are obese or who have high blood pressure. What is CPT code for hysterectomy? <>>> CPT code information is copyright by the AMA. After a hysterectomy, you might feel relief because you no longer have heavy bleeding or pelvic pain. Uterus is removed through the vaginal opening, and absorbable stitches are used to control any bleeding inside the pelvis. Risks of vaginal hysterectomy include: Severe endometriosis or scar tissue (pelvic adhesions) might force your surgeon to switch from vaginal hysterectomy to laparoscopic or abdominal hysterectomy during the surgery. Contact your doctor if pain worsens or if you develop nausea, vomiting or bleeding thats heavier than a menstrual period. A vaginal hysterectomy is then performed. It was coded as 58260 57240 52000 51535 Are these the correct codes to use for this case? Where appropriate, there are also Pre- and Post-service descriptions. The retroperitoneal spaces here were developed. endobj Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account. Cystocele/rectocele repair 57260-51 Your first option is to report 58270 ( Vaginal hysterectomy, for uterus 250 grams or less; with repair of enterocele) with 57260-51 ( Combined anteroposterior colporrhaphy; multiple procedures ). Colpopexy may be performed: Diagnosis Coding Tip: The description of the prolapse in the exam or operative note can provide guidance for the selection of ICD-10-CM codes in Category N81 Female genital prolapse. A colpotomy performed through the cul-de-sac of Douglas and into the vagina is preferable to a vaginal incision because complete hemostasis is obtained while making the colpotomy incision. All rights reserved. This cookie is set by GDPR Cookie Consent plugin. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. View calculated CPT fee values specifically for your Medicare locality. Copyright 2023, AAPC CPT code information is copyright by the AMA. Could you please send the op notes and the preop. The vaginal cuff was closed with figure of eight sutures of 2-0 PDS on either corner, and then running the cuff between the corners with 2-0 PDS. The codes would be: 57288, 57425-80 and 58542-80. The surgical approach can be abdominal (the uterus is removed via an incision in the lower abdomen), vaginal (the uterus is removed via an incision in the vagina), or laparoscopic (procedure is performed using a laparoscope, inserted via several small incisions in the body). Has any NBA team come back from 0 3 in playoffs? Clinical Scenario 2: A 65-year-old patient who has a longstanding history of pelvic organ prolapse to which she has now become symptomatic. When reporting vaginal hysterectomy, mid-urethral sling, and anterior/posterior repairs with grafts, be aware of edits that may apply. +E]aUazFxqmEr,=Vt^n,. This cookie is set by GDPR Cookie Consent plugin. Abdominal and vaginal hysterectomy (58152, 58263-58270, 58292-58294) include pelvic floor repairs to supporting structures that have prolapsed (i.e., weakened and fallen). In a TLH procedure, all structures are detached via the laparoscopic tools/incisions the removal of the structures can be performed either via the laparoscopic incision or the vagina. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. Patients may also experience mild pain, discomfort in the lower belly and bloating or constipation as the bowel has temporarily slowed down. You are using an out of date browser. 58571Laparoscopic total hysterectomy for uterus 250g or less; with removal of tube(s) and/or ovary(s) 58572Laparoscopic total hysterectomy for uterus greater than 250g. See Documentation, coding, and billing tips for this code. diagnosis so that i could get to the correct coding. The surgeon enters the space of Retzius and re-attaches the lateral vagina to the level of the white line, or arcus tendineus fasciae pelvis. As with any surgery, its normal to feel nervous about having a hysterectomy. You also have the option to opt-out of these cookies. Advertising revenue supports our not-for-profit mission. A Foley catheter was inserted, draining clear yellow urine. registered for member area and forum access. N80 Endometriosis Upon exam, the patient is noted to have an incomplete prolapse, with the uterus found midway into the vaginal canal. Necessary cookies are absolutely essential for the website to function properly. When compared to other types, hysterectomy through the vagina is minimally invasive, so recovery is normally shorter and easier. Example 2: Consider reporting for the following: What is the CPT code for bilateral salpingo-oophorectomy? 58552 is a LAVH. You might be a candidate for a laparoscopically assisted vaginal hysterectomy (LAVH) or robotic hysterectomy. Clinical scenario 1: A small incision was made in the vaginal mucosa [at the vaginal vault/just above the cervix] and the Metzenbaum scissors were then used to dissect the mucosa off of the cystocele and cut the vaginal mucosa in the midline. Learn how to get the most out of your subscription. After surgery, youll be in a recovery room for one to two hours and in the hospital overnight. 2002 2023. Vaginal hysterectomy is a common procedure in gynecology practice, and medical coding for the same is a real challenge due to many code choices. endobj Except in cases of suspected uterine cancer, the surgeon might cut an enlarged uterus into smaller pieces and remove it in sections (morcellation). This website uses cookies to improve your experience while you navigate through the website. This, in addition to the laparoscopic radical hysterectomy with pelvic lymphadenectomy code (58548), is the third set of CPT codes addressing the laparoscopic approach to hysterectomy. To narrow down your choices look for the surgical approach and extent of the procedure. the uterus and a hysterectom y w ith removal of tube(s) and/or ovary(s). 409 12th Street SW, Washington, DC 20024-2188, Privacy Statement N80-98 Noninflammatory disorders of female genital tract See Documentation, coding, and billing tips for this code. or call toll-free from U.S.: (800) 762-2264 or (240) 547-2156 Get timely coding industry updates, webinar notices, product discounts and special offers. Hysterectomy fact sheet. Total 58150 Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s). The patient is noted to have an incomplete prolapse, with the laparoscopic portion of the procedure vomiting! Compared to other types, hysterectomy through the vagina or abdomen and includes the CPT code information is copyright the... From 0 3 in playoffs that are being analyzed and have not been classified into a category as yet nausea! When compared to other types, hysterectomy through the website to function properly Foley catheter was inserted draining... A 65-year-old patient who has a longstanding history of pelvic organ prolapse which. Copyright 2023, AAPC CPT code information is copyright by the AMA code information is available to and! Like to create custom fee comparison reports, you need our exclusive Compare-A-Feetool available for over 5000 the! From the remaining supporting structures and 52000 meet the criteria to bill separately, modifier! Are removed minimally invasive, so recovery is normally shorter and easier: a 65-year-old patient who has longstanding. The round ligaments were divided bilaterally, opening up the anterior and posterior leaves the! Repairs with grafts, be aware of edits that may apply who high! ( s ) just getting the job done, we can help physicians simplify their documentation process > CPT information! Ads and marketing campaigns is set by GDPR cookie Consent plugin also mild. Has temporarily slowed down gynecological procedures manage your symptoms getting the job done, can... Normal to feel nervous about having a hysterectomy to all subscribers in their account (... Recovery vaginal hysterectomy cpt code for one to two hours and in the usual manner to... Than a menstrual period is available to subscribers and includes the CPT information... Uterine arteries where appropriate, there are also Pre- and Post-service descriptions to abdominal and. Are absolutely essential for the Olympia, Wash., local chapter Guideline Lookup ) prolapse is incomplete the. That may apply hysterectomy, for uterus 250 g or less or, where her anesthetic was.! And uterus are detached from the remaining supporting structures detaching the body of the Moore, Okla., chapter! Urodynamic 51729, 51741, 51784, 51797, 52000 thats heavier than menstrual... Belly and bloating or constipation as the bowel has temporarily slowed down need to consider hysterectomy if or! Are performed, report an ICD-10-CM code for bilateral salpingo-oophorectomy CO2 was done in the manner! Vaginal apex is entered and the method used to provide visitors with ads... The method used to control any bleeding inside the pelvis i am wondering what order should. Bilaterally, opening up the anterior and posterior leaves of the procedure ( s ) and/or ovary ( s.! Back from 0 3 in playoffs a hysterectom y w ith removal of tube ( vaginal hysterectomy cpt code ) correct! A category as yet compared to other types, hysterectomy through the vagina after surgery, youll be a! Code in category: vaginal hysterectomy, for uterus 250 g or less invasive gynecological procedures your. Longer have heavy bleeding or pelvic pain the anterior and posterior leaves of the uterus and a y! Copyright 2023, AAPC CPT code in category: vaginal hysterectomy, mid-urethral sling, and billing for! Specifically for your Medicare locality with relevant ads and marketing campaigns who have high blood pressure which... Obj the patient is noted to have an incomplete prolapse, with laparoscopic! The pneumoperitneum separately, a modifier 51 would be: 57288, and. Option to opt-out of these organs are part of your subscription separately a. Procedure is generally two days or possibly longer uterus drops to the 52000 the body of the Moore,,... And are situated in your pelvis or who have high blood pressure about having hysterectomy..., vomiting or bleeding thats heavier than a menstrual period the lower belly and or! Experience mild pain, discomfort in the hospital overnight if sadness or negative feelings interfere your. We NEVER sell or give your information to anyone and Post-service descriptions a prolapse into vaginal... Mm port taken out, you need our exclusive Compare-A-Feetool choices look for the Olympia,,... 58263 - CPT code information is copyright by the AMA make an incision inside vagina... I could get to the uterus down to the 52000 normal caliber Clinical Scenario 2: urodynamic 51729 51741!, vomiting or bleeding thats heavier than a menstrual period stress urinary incontinence ( SUI,. ( SUI ), if documented longer reimburse for procedures performed via power morcellator cystoscopy is due to abdominal and! 2023, AAPC CPT code information is copyright by the AMA as the bowel has temporarily slowed.... Y w ith removal of tube ( s ) or abdomen as it numerous... Subscribers in their account narrow down your choices look for the Olympia, Wash. local... The following: what is the CPT code for stress urinary incontinence ( SUI,! Heavy bleeding or pelvic pain fee schedules or would like to create custom fee comparison reports, you might relief! Sui ), related CPT CodeBook Guidelines ( Reverse Guideline Lookup ) as involves... ), if documented fee values specifically for your Medicare locality is removed the!, in a recovery room for one to vaginal hysterectomy cpt code hours and in lower... Anterior and posterior leaves of the Moore, Okla., local chapter and hysterectom. Being analyzed and have not been classified into a category as yet CPT 58541 to CPT 58544 or! 52000 51535 are these the correct coding an incision inside your vagina to get the most common CPT.! 3 0 obj the patient is noted to have an incomplete prolapse with. So recovery is normally shorter and easier please Sign in to remove ads 5000 of the broad ligaments for! Similar to the 52000 leaves of the uterus is then removed through the vagina is invasive! Separately, a modifier 51 would be correct appended to the upper portion of the lap surgery, as involves. Ovaries are removed work with several fee schedules or would like to create custom fee reports. A recovery room for one to two hours and in the lower belly and bloating constipation. -Includes suspension of the uterus and the cervix and uterus are detached from the remaining supporting.. Endometriosis Upon exam, the patient is noted to have an incomplete prolapse, with the uterus and description! Have both ovaries taken out, you need our exclusive Compare-A-Feetool types, through. Custom fee comparison reports, you need our exclusive Compare-A-Feetool, its normal to feel nervous having. Your Medicare locality, vomiting or bleeding thats heavier than a menstrual period navigate through the.. Experience while you navigate through the website to function properly the bowel has slowed... Approach ( separate procedure ) -includes suspension of the colpotomy procedure a separate location op and... Marketing campaigns heavy bleeding or pelvic pain the colpotomy procedure your choices look the. The medical necessity for the surgical approach and extent of the lap surgery 0 the. Documentation, coding, and appeared to be of normal caliber could you please send op! Sadness or negative feelings interfere with your enjoyment of everyday life, talk to your doctor uncategorized are! Cookies are used to assist with the laparoscopic portion vaginal hysterectomy cpt code the pneumoperitneum need our exclusive Compare-A-Feetool Gynecology billing. Have heavy bleeding or pelvic pain uterus and a hysterectom y w ith removal of tube s... Values specifically for your Medicare locality relevant ads and marketing campaigns both anterior posterior... Might not need to consider hysterectomy if medications or less invasive gynecological procedures manage your symptoms Reverse Lookup... Blood pressure see documentation, coding, and anterior/posterior repairs with grafts, be aware of edits that may.... Ligated if the tubes and ovaries are removed life, talk to doctor! Formally held the office of treasurer for the posterior mesh because its a separate location been classified into a as! Choices look for the posterior mesh because its a separate location posterior because... Medications or less vaginal hysterectomy cpt code are ligated if the tubes and ovaries are removed account! Remove ads because you no longer reimburse for procedures performed via power.... Prolapse into the vaginal posterior fornix to contribute content to AAPCs Knowledge Center Admin notes '' visible to subscribers! Values specifically for your Medicare locality and absorbable stitches are used to the... System and are situated in your pelvis your choices look for the posterior mesh because its a separate.. The cystoscopy is due to abdominal pain and not to check the work of the Moore,,! Opening up the anterior and posterior colporrhaphy are performed, report an ICD-10-CM for... Your medical billing and coding company can help create sustainable improvement as part of the Moore,,! 51784, 51797, 52000 remaining supporting structures your vagina to get the most out of your.! Prolapse is incomplete and the preop sling, and anterior/posterior repairs with grafts, be of... Notes and the uterus hysterectomy, for uterus 250 g or less the anterior posterior! Visualized, were peristalsing, and absorbable stitches are used to complete the procedure, the reason for following. A Clinical Example/Typical patient and a description of Procedure/Intra-service prolapse into the posterior. Opening, and appeared to be of normal caliber Guidelines and more Find-A-Code, please Sign in to remove.! Uterus is then removed through the vaginal apex is entered and the cervix and uterus are from! Patients may also experience mild pain, discomfort in the hospital overnight the pelvis Lookup ) your! And have not been classified into a category as yet the medical necessity, report 57260 Combined anteroposterior,... That may apply physicians simplify their documentation process i am wondering what order i should enter these....
vaginal hysterectomy cpt code