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June 2005 · Vol. 17, No. 6

REIMBURSEMENT ADVISER

New TAH-BSO code pays less for less work

Melanie  Witt,  RN, CPC, MA

Q

The new code for total abdominal hysterectomy–bilateral salpingooophorectomy (TAH-BSO) with malignancy, 58956, pays less than some of the other codes for malignancy or hysterectomy. Why?

A

If you analyze the procedures included in code 58956 (BSO with total omentectomy, total abdominal hysterectomy for malignancy) and compare those with other codes for malignancy with hysterectomy, you will find 5 codes that have a higher RVU: 58210, 58951, 58952, 58953, and 58954. This is because the procedures associated with the new code involve less work than these other procedures.

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