icd 9 code for laparascopically assisted vaginal hysterectomy/?

What is the CPT code for laparoscopically assisted vaginal hysterectomy?

Assign codes 68.51, Laparoscopically assisted vaginal hysterectomy; and 65.63, Laparoscopic removal of both ovaries and tubes at same operative episode. In contrast to the laparoscopic total abdominal hysterectomy, the LAVH involves making an incision within the vagina to detach the cervix and uterus and removing the organs through the vagina.

What factors determine the correct ICD-9-CM Procedure Code for a hysterectomy?

An important factor in assigning the correct ICD-9-CM hysterectomy procedure code is to determine what structures were detached and how they were... To read the full article, sign in and subscribe to AHA Coding Clinic ® for ICD-10-CM and ICD-10-PCS .

What is the procedure for laparoscopically removing the uterus?

LAVH includes laparoscopically detaching the uterine body from the surrounding upper supporting structures. The vaginal portion of the procedure is then performed. The vaginal apex is entered, and the cervix and uterus are detached from the remaining supporting structures. The uterus is then removed through the vagina.

Does a LAVH procedure use a laparoscope?

A LAVH procedure does use a laparoscope, but it is used only for the initial part of the procedure as a guidance and visualization tool. An incision into the vagina is used to detach the structures. The removal of the structures must be done vaginally.

What is the ICD-10 code for vaginal hysterectomy?

Acquired absence of both cervix and uterus Z90. 710 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD-9 code for hysterectomy?

(2008) , hysterectomies were defined using ICD-9-CM procedure codes 68.4, 68.5, or 68.9 in hospital discharge abstracts data.

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 laparoscopic hysterectomy?

In CPT 2008, the 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.

How do you code a hysterectomy?

For example, the total hysterectomy CPT code 58575, the procedure covers lot of other services like tumor debulking, omentectomy ((removal of the omentum, part of the membrane lining the abdominal cavity), and salpingo-oophorectomy (removal of the fallopian tubes and ovaries).

What are ICD 9 procedure codes?

ICD-9-CM is the official system of assigning codes to diagnoses and procedures associated with hospital utilization in the United States. The ICD-9 was used to code and classify mortality data from death certificates until 1999, when use of ICD-10 for mortality coding started.

What is procedure code 58150?

Total abdominal hysterectomyCPT® 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 laparoscopic assisted surgery?

(LA-puh-ruh-SKAH-pik-uh-SIS-ted koh-LEK-toh-mee) Surgery done with the aid of a laparoscope to remove all or part of the colon through several small incisions made in the wall of the abdomen. A laparoscope is a thin, tube-like instrument with a light and a lens for viewing.

What is the difference between CPT code 58571 and 58552?

58552 is a LAVH. Lap Assisted Vaginal Hysterectomy and the 58571 is for TLH, Total Laparoscopic Hysterectomy.

What is the ICD 10 code for diagnostic laparoscopy?

ICD-10-CM Code for Laparoscopic surgical procedure converted to open procedure Z53. 31.

What is the CPT code for laparoscopy?

A diagnostic laparoscopy (CPT 49320) or laparotomy (CPT 49000) should be entered as the principal operative procedure only when no other procedure eligible for assessment has been performed in that particular surgical case.

What is a LAVH procedure?

LAVH includes laparoscopically detaching the uterine body from the surrounding upper supporting structures. The vaginal portion of the procedure is then performed. The vaginal apex is entered, and the cervix and uterus are detached from the remaining supporting structures. The uterus is then removed through the vagina. TLH (effective Jan. 1, 2008)

Why is the Asepto bulb placed in the vagina?

An Asepto bulb was now placed vaginally to maintain pneumoperitoneum. The vaginal cuff was closed with figure of eight sutures of 2-0 PDS on either corner, and then running the cuff between the corners with 2-0 PDS. Both ureters were visualized, were peristalsing, and appeared to be of normal caliber.

How does a manipulator help the uterus?

The manipulator assists in providing a safe margin between the ureters and the vaginal fornices by pushing the uterus/vaginal/cervix away from these areas. The laparoscopic instruments are able to make the incisions around the vaginal area while staying away from the ureters and vaginal fornix.

Why is the Asepto bulb placed in the vagina?

An Asepto bulb was now placed vaginally to maintain pneumoperitoneum. The vaginal cuff was closed with figure of eight sutures of 2-0 PDS on either corner, and then running the cuff between the corners with 2-0 PDS. Both ureters were visualized, were peristalsing, and appeared to be of normal caliber.

How does a manipulator help the uterus?

The manipulator assists in providing a safe margin between the ureters and the vaginal fornices by pushing the uterus/vaginal/cervix away from these areas. The laparoscopic instruments are able to make the incisions around the vaginal area while staying away from the ureters and vaginal fornix.

What is hysterectomy in 2012?

January 16, 2012. Hysterectomy is the surgical removal of the uterus. It is one of the most common surgical procedures among women and is typically considered only after all other treatment options have been tried and failed. • Uterine fibroids (ICD-9-CM category 218): benign tumors of the uterus, which are also called leiomyoma, fibromyoma, ...

What is the most common approach to hysterectomy?

This open procedure is the most common approach for hysterectomy. • Vaginal: An incision is made in the vagina, and the uterus is removed through the vagina. • Laparoscopic: The hysterectomy is performed using a laparoscope and surgical tools inserted through the several small cuts in the body.

What are some alternatives to hysterectomy?

Alternatives to Hysterectomy. The following are potential alternatives to a hysterectomy: • Endometrial ablation for abnormal uterine bleeding (68 .23): laser surgery, which may be done through a hysteroscope, to remove fibroids. A dilation and curettage for endometrial ablation is also classified to code 68.23.

What is the CPT code for total laparoscopic hysterectomy?

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.

What is LSH in uterus?

LSH includes laparoscopically detaching the body of the uterus down to the uterine arteries. The uterine body is then separated from the cervix, hemostasis of the cervical stump is achieved, and the endocervical canal is coagulated. The uterine body is then abdominally removed by bivalving, coring, or morcellating, as required. ...