icd 10 code for laparoscopy with fulguration of obstructed oviducts

What is laparoscopic fulguration of oviduct?

58670 Laparoscopy, surgical; with fulguration of oviducts (with or without transection) With the assistance of a fiber optic laparoscope, the physician performs laparoscopic electrical cautery destruction of an oviduct with or without completely cutting through the fallopian tubes.

What is the CPT code for laparoscopic oophorectomy?

A. The correct codes are 58661 and 49321-51. Code 58661 describes partial or total oophorectomy and/or salpingectomy. If you look up ovarian cystectomy in the index of CPT, you are referred to code 58661 for that portion of the procedure also.

What is the CPT code for fallopian tube removal?

The physician ties off the fallopian tube or removes a portion of it on one or both sides. The procedure may be done through a small incision just above the pubic hairline. This procedure is done during the same hospital stay as the delivery (except for the episode of care, this code is the same as 58600).

What is the CPT code for intestinal obstruction?

Lastly, if intestinal obstruction is a complication of surgery, code K91.3-, may be warranted. Coders must validate that this is truly intestinal obstruction as a complication of surgery, and not just occurring after surgery due to another cause.

What causes bowel obstruction?

Mechanical bowel obstruction can be caused by a number of conditions. Some of the most common causes are: 1 Adhesions or scar tissue that forms after surgery 2 Foreign bodies (objects that are swallowed and block the intestines) 3 Gallstones (rare) 4 Hernias 5 Impacted stool 6 Intussusception (telescoping of one segment of bowel into another) 7 Tumors blocking the intestines 8 Volvulus (twisted intestine)

What is it called when the bowel does not work correctly?

When there is a condition in which the bowel does not work correctly, but there is no structural problem causing it, it is called “ileus.”. We are going to talk about mechanical bowel obstruction in this coding tip. Mechanical bowel obstruction can be caused by a number of conditions. Some of the most common causes are:

Is bowel obstruction a diagnosis?

In the past, bowel obstruction was almost always coded as a diagnosis as the physician usually addressed the condition and did work up as to the cause, many times addressing the cause also. However that has changed as the coder will see in this coding tip.

Is postoperative coding misleading?

The term “postoperative’ can be misleading. A query may be necessary. Take Aways. Coders must be aware of the index entries for intestinal obstruction and follow the index. For conditions in the index, look for “with obstruction” underneath the main entry or subterm entries.

Is K91.3 a postoperative complication?

Lastly, if intestinal obstruction is a complication of surgery, code K91.3-, may be warranted. Coders must validate that this is truly intestinal obstruction as a complication of surgery, and not just occurring after surgery due to another cause. The term “postoperative’ can be misleading. A query may be necessary.

What is the CPT code for ovarian cystectomy?

If you look up ovarian cystectomy in the index of CPT, you are referred to code 58661 for that portion of the procedure also. The code cannot be reported with the bilateral modifier, which means that although procedures were done on the right and left sides, this code includes both procedures.

Can you report Lysis of Adhesions with 58661?

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)”. Therefore, if code 58740 is submitted with code 58661 only 58661 will reimburse.

How does a physician fulgurate the fallopian tubes?

To fulgurate the fallopian tubes, the physician inserts an electric cautery tool or a laser through a third incision adjacent to the fallopian tubes.

What is 58671 laparoscopy?

58671 Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope rings) The physician may first insert an instrument through the vagina to grasp the cervix and to manipulate the uterus during surgery.

What is the third incision in a laparoscope?

A third incision typically is made adjacent to the fallopian tubes and the devices (Silastic bands, clips, or Falope rings) are applied to the tubes.

What is separate procedure?

According to the American Medical Association’s (AMA’s) guidelines, any code designated in CPT ® as a “separate procedure” is usually a component of a more complex service or an integral component of another procedure.

Is a procedure reported separately?

Such procedures are not reported separately when performed with other procedures and services in an anatomically-related area (e.g., same skin incision, same orifice, or same surgical approach). It is appropriate to report a code identified as a separate procedure if performed alone, however.