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April 2004 · Vol. 16, No. 4

REIMBURSEMENT ADVISER

Does morcellation change hysterectomy coding?

MELANIE  WITT,  RN, CPC, MA

Ms. Witt, former program manager in the Department of Coding and Nomenclature at the American College of Obstetricians and Gynecologists, is an independent coding and documentation consultant. Reimbursement Adviser reflects the most commonly accepted interpretations of CPT-4 and ICD-9-CM coding. When in doubt on a coding or billing matter, check with your individual payer.

Q

My physician performed a laparoscopic supracervical hysterectomy with morcellation. Would I bill 58550-52?

A

This question has 2 parts: how to bill for a laparoscopic supracervical hysterectomy, and how to account for the morcellation.

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