What is the difference between a total laparoscopic hysterectomy and a laparoscopic assisted vaginal hysterectomy?
By definition, in TLH, total uterine removal is performed laparoscopically; LAVH implies performing laparoscopic removal above the uter- ine vessels, which are secured during the vaginal phase. Both TLH and LAVH are associated with many advan- tages over total abdominal hysterectomy (TAH).
What is the CPT code for vaginal vault suspension?
57282-51—Vaginal vault suspension.
What is the CPT code for laparoscopic uterosacral ligament suspension?
CPT code 57425 is specific to vaginal suspensory procedures which involve placement of an artificial graft material to suspend the vagina from the sacrum. Suspension procedures which do not involve placement of a graft or which do not involve suspension from the sacrum should be reported with an alternative code.
What is CPT code for robotic assisted laparoscopic hysterectomy?
When coding for laparoscopic or robotic procedures, code the standard laparoscopic CPT code, example 58552 for a laparoscopic or robotic vaginal hysterectomy, for uterus 250 g. or less with removal of tube(s) and ovary(s) or as another example 58571 laparoscopic or robot- ic total hysterectomy for uterus 250 g. or less …
What are the 3 types of hysterectomy?
The operation may be performed via an incision (cut) in your lower abdomen (abdominal hysterectomy), three to four small incisions in your abdomen (laparoscopic hysterectomy), or through your vagina (vaginal hysterectomy).
What is the CPT code for total hysterectomy?
CPT® Code 58150 in section: Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s)
What is included in CPT 58661?
Salpingectomy (58661 or 58700) is billed as a sterilization but tubal ligation is listed as the specific type of operation on line 20 of the consent form.
What is the CPT code 57288?
CPT code 57288 Sling operation for stress incontinence (fascia or synthetic) CPT code 57287 Removal or revision of sling for stress incontinence (fascia or synthetic)
What is a uterosacral ligament suspension?
What is a uterosacral ligament suspension? A uterosacral ligament suspension is a surgical procedure to restore the support of the top of the vagina after hysterectomy. It can be performed at the same time as a hysterectomy or later on in life in women who have previously undergone a hysterectomy.
What is a uterosacral ligament?
The uterosacral ligaments are thick bands of connective tissue that help support your uterus. They travel from the base of your uterus to your lower spine. Endometriosis is a common problem associated with the uterosacral ligaments.
What is the CPT code for robotic surgery?
II.
A. Robotic-assisted surgery is considered medically necessary for laparoscopic prostatectomy using the CPT code 55866.
What is the CPT code for robotic assisted hysterectomy with bilateral salpingectomy?
If you perform a laparoscopic hysterectomy, BSO, debulking, the proper CPT code would be 58575 (Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed).
What are the five types of hysterectomy?
There are five types of MIH procedures:
- Laparoscopic supracervical hysterectomy (LSH).
- Total laparoscopic hysterectomy (TLH).
- Laparoscopically assisted vaginal hysterectomy (LAVH).
- Vaginal hysterectomy (VH).
- Robotic-assisted total hysterectomy.
Which type of hysterectomy is most common?
Total hysterectomy is the most common type of hysterectomy. The surgeon removes your uterus, one or both of your ovaries, and sometimes your fallopian tubes.
What is the CPT code for hysteroscopy?
58558
The diagnostic hysteroscopy (58555) is included within the surgical hysteroscopy (58558).
What is a total abdominal hysterectomy with bilateral salpingectomy?
In a total hysterectomy, the uterus and cervix are removed. In a total hysterectomy with salpingo-oophorectomy, (a) the uterus plus one (unilateral) ovary and fallopian tube are removed; or (b) the uterus plus both (bilateral) ovaries and fallopian tubes are removed.
What is the difference between CPT 58661 and 58670?
If the provider performed a laparoscopic salpingectomy for sterilization purposes, CPT code 58661 would be reported and not 58670. Other coding guidance resources have stated that CPT code 58661 would be reported for a disease process and CPT code 58670 would be reported for sterilization.
Can 58661 and 58660 be billed together?
Based on American College of Obstetricians and Gynecologists, it states “Services that cannot be reported with 58661 under any circumstances- Lysis of adhesions (44005, 44180, 58660 and 58740)”.
What is the CPT code 58262?
Hysterectomy Procedures
CPT® 58262, Under Hysterectomy Procedures. The Current Procedural Terminology (CPT®) code 58262 as maintained by American Medical Association, is a medical procedural code under the range – Hysterectomy Procedures.
What is CPT A4565?
HCPCS Code A4565
A4565 is a valid 2022 HCPCS code for Slings used in Lump sum purchase of DME, prosthetics, orthotics.
Is uterosacral ligament suspension part of hysterectomy?
The uterosacral ligament suspension is a procedure used to correct prolapse of the vaginal vault or apex (top of the vagina). It is typically performed at the time of vaginal hysterectomy, although it can also be performed in other situations.
What does Uterosacral mean?
Medical Definition of uterosacral ligament
: a fibrous fascial band on each side of the uterus that passes along the lateral wall of the pelvis from the uterine cervix to the sacrum and that serves to support the uterus and hold it in place. — called also sacrouterine ligament.
What runs in uterosacral ligament?
Your uterosacral ligament runs front to back, from your uterus to your spine. You have two uterosacral ligaments — left and right. Your rectum travels downward through the two ligaments, ending at the anus.
What code does Medicare use for robotic surgery?
The Health Care Common Procedure Coding System (HCPCS) code S2900 (Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure)) describes a computer-aided tool used in performing a specific surgical procedure.
What is the ICD 10 code for robotic surgery?
The code for the robotic assistance is 8E0W4CZ. The sixth character value of C identifies that the method of the procedure was via robotic assistance.