|November 2006 · Vol. 18, No. 11
Few payers deny unlisted procedures
RN, CPC-OGS, MA
The code for trachelectomy cannot be reported if it is done laparoscopically
Independent coding and documentation consultant; former program manager, Department of Coding and Nomenclature, American College of Obstetricians and Gynecologists
Q We plan to perform a laparoscopic right salpingo-oophorectomy and laparoscopic removal of the cervix. The patient had a previous laparoscopic supracervical hysterectomy and is now having abnormal bleeding and right lower quadrant pain. I know that the code for the RSO is 58661 (Laparoscopy, surgical; with removal of adnexal structures [partial or total oophorectomy and/or salpingectomy]), but how should we report the removal of the cervix?
A Although there is a CPT code for a trachelectomy (57530, Trachelectomy [cervicectomy], amputation of cervix [separate procedure]), this code cannot be reported because the procedure was performed laparoscopically. CPT rules dictate that correct coding would be an unlisted laparoscopic code.