Diagnoses: 1. Uterine fibroids; 2. Menorrhagia Procedures: Myomectomy; extensive
ID: 258967 • Letter: D
Question
Diagnoses: 1. Uterine fibroids; 2. Menorrhagia Procedures: Myomectomy; extensive pelvic adhesiolysis Multiple pelvic adhesions involving extensive lysis were noted with the omentum adherent to the large intestine and the anterior surface or fundus of the uterus that were taken down using blunt dissection as well as scissors. Once adequate visualization of the uterus was obtained, it was palpated in order to determine where the first incision should be made. The fundal fibroid and two smaller fibroids were removed from this incision. In a similar manner, on the anterior-inferior midline surface of the uterus, a linear incision was also made and multiple fibroids removed. The uterine cavity was then entered and all palpable fibroids removed. Which code(s) should be assigned? A. 58146, 58740–59, 44005–59 B. 58546 C. 58146–22 D. 58140 Diagnoses: 1. Uterine fibroids; 2. Menorrhagia Procedures: Myomectomy; extensive pelvic adhesiolysis Multiple pelvic adhesions involving extensive lysis were noted with the omentum adherent to the large intestine and the anterior surface or fundus of the uterus that were taken down using blunt dissection as well as scissors. Once adequate visualization of the uterus was obtained, it was palpated in order to determine where the first incision should be made. The fundal fibroid and two smaller fibroids were removed from this incision. In a similar manner, on the anterior-inferior midline surface of the uterus, a linear incision was also made and multiple fibroids removed. The uterine cavity was then entered and all palpable fibroids removed. Which code(s) should be assigned? A. 58146, 58740–59, 44005–59 B. 58546 C. 58146–22 D. 58140 Diagnoses: 1. Uterine fibroids; 2. Menorrhagia Procedures: Myomectomy; extensive pelvic adhesiolysis Multiple pelvic adhesions involving extensive lysis were noted with the omentum adherent to the large intestine and the anterior surface or fundus of the uterus that were taken down using blunt dissection as well as scissors. Once adequate visualization of the uterus was obtained, it was palpated in order to determine where the first incision should be made. The fundal fibroid and two smaller fibroids were removed from this incision. In a similar manner, on the anterior-inferior midline surface of the uterus, a linear incision was also made and multiple fibroids removed. The uterine cavity was then entered and all palpable fibroids removed. Which code(s) should be assigned? A. 58146, 58740–59, 44005–59 B. 58546 C. 58146–22 D. 58140Explanation / Answer
Answer - A. 58146, 58740–59, 44005–59
44005 - almost all surgical procedures that involve abdominal surgery.
58740 - pelvic adhesions and you could report