ICD-10-CM Diagnosis Code
In healthcare, diagnosis codes are used as a tool to group and identify diseases, disorders, symptoms, poisonings, adverse effects of drugs & chemicals, injuries and other reasons for patient encounters. Diagnostic coding is the translation of written descriptions of diseases, illnesses and injuries into codes from a particular classification.
ICD-10-CM Diagnosis Code Z90.711 [convert to ICD-9-CM] Acquired absence of uterus with remaining cervical stump History of hysterectomy, supracervical; History of supracervical hysterectomy; Hx of hysterectomy, supracervical; Status post partial hysterectomy with remaining cervical stump ICD-10-CM Diagnosis Code Z98.811 [convert to ICD-9-CM]
Acquired absence of uterus with remaining cervical stump History of hysterectomy, supracervical; History of supracervical hysterectomy; Hx of hysterectomy, supracervical; Status post partial hysterectomy with remaining cervical stump ICD-10-CM Diagnosis Code Z98.811 [convert to ICD-9-CM]
The CPT® index, under the main term “hysterectomy,” lists your code choices according to the type of approach documented. This is your first step in selecting the right code.
The 2021 edition of ICD-10-CM Z90.711 became effective on October 1, 2020. This is the American ICD-10-CM version of Z90.711 - other international versions of ICD-10 Z90.711 may differ. Applicable To. Status post partial hysterectomy with remaining cervical stump.
Z48. 815 - Encounter for surgical aftercare following surgery on the digestive system. ICD-10-CM.
ICD-10 Code for Encounter for surgical aftercare following surgery on specified body systems- Z48. 81- Codify by AAPC.
Acquired absence of both cervix and uterus The 2022 edition of ICD-10-CM Z90. 710 became effective on October 1, 2021.
In CPT 2008, the American Medical Association (AMA) published the total laparoscopic hysterectomy (TLH) set of codes (58570-58573). 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.
Use Z codes to code for surgical aftercare. Z47. 89, Encounter for other orthopedic aftercare, and. Z47. 1, Aftercare following joint replacement surgery.
ICD-10 Code for Encounter for other orthopedic aftercare- Z47. 89- Codify by AAPC.
The code for a total abdominal hysterectomy is: 0UT90ZZ Resection of uterus, open approach. In this example the “Z No Qualifier” is indicating that both the uterus and cervix are removed. The code for a laparoscopic supracervical hysterectomy is: 0UT94ZL Resection of uterus, percutaneous endoscopic, supracervical.
(2008) , hysterectomies were defined using ICD-9-CM procedure codes 68.4, 68.5, or 68.9 in hospital discharge abstracts data.
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)
58552 is a LAVH. Lap Assisted Vaginal Hysterectomy and the 58571 is for TLH, Total Laparoscopic Hysterectomy.
Colpopexy. Colpopexy is a repair of prolapsed vaginal tissue, which may be performed at the same operative session as a hysterectomy and is billed separately.
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.
Radical hysterectomy includes the removal of the entire uterus and nearby tissue, the cervix, and the top part of the vagina. If you know the approach and extent of the procedure, in some cases you may be able to determine the appropriate code without further detail. For example, an abdominal hysterectomy may be:
There are three options: A total hysterectomy is the removal of the whole uterus, the fundus, and cervix. A subtotal, partial, or supracervical hysterectomy is the removal of the fundus or top portion of the uterus only, leaving the cervix in place. Radical hysterectomy includes the removal of the entire uterus and nearby tissue, the cervix, ...
Mesh is used in both the anterior and posterior repair, but the anterior will overlap the mesh used for the sling. Modifier 59 can be reported for the posterior mesh because it’s a separate location. Example 2: Consider reporting for the following: Vaginal hysterectomy – 58260. Paravaginal defect repair – 57284.
CPT® coding for laparoscopic hysterectomy is based on the size of the uterus and the method used to complete the procedure. Documentation should state the weight of the uterus before it is sent to pathology.
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).
Additional procedures performed during the same session — such as salpingo-oophoprectomy, pelvic floor repairs, or mid-urethral slings — may be bundled into the hysterectomy code. Consider each procedure when making the determination.
Although hysterectomy is a common procedure in gynecology practice, coding for it is a challenge due to so many code choices. Along with the surgical approach and extent (i.e., total or partial) of the hysterectomy, accounting for related performed procedures is key to code selection.