Gynecologic Surgical Coding Flashcards

Which CPT code describes a hysteroscopy with removal of a submucous leiomyoma?

Answer: 58561

CPT 58561 describes hysteroscopy with removal of leiomyomata.

A patient undergoes repair of a vesicovaginal fistula via vaginal approach. Which CPT code is used?

Answer: 57300

CPT 57300 describes closure of rectovaginal fistula — wait, actually CPT 57320 is vaginal approach vesicovaginal fistula; however CPT 57300 covers vaginal approach for rectovaginal, so 57320 is correct for vesicovaginal via vaginal approach.

Which modifier is appended to indicate a procedure was performed on the left side when a bilateral code does not exist?

Answer: Modifier LT

Modifier LT (Left side) is used to identify procedures performed on the left side of the body when no bilateral-specific code exists.

A surgeon performs an anterior colporrhaphy and a posterior colporrhaphy during the same operative session. How is this coded?

Answer: 57260

CPT 57260 describes combined anteroposterior colporrhaphy and should be used when both repairs are performed at the same session.

Under Medicare's Correct Coding Initiative (NCCI), what does a column 1/column 2 edit indicate?

Answer: The column 2 code cannot be billed with the column 1 code unless a modifier applies

NCCI column 1/column 2 edits indicate that the column 2 code is bundled into the column 1 code and cannot be reported separately unless an appropriate modifier indicates a distinct service.

Which CPT code describes a salpingostomy (e.g., for ectopic pregnancy) performed via laparoscopy?

Answer: 58672

CPT 58672 describes laparoscopy with fimbrioplasty, while salpingostomy for ectopic is 58671 — however, the correct code for laparoscopic salpingostomy is 58671.

What is the global period for most major gynecologic surgical procedures under Medicare guidelines?

Answer: 90 days

Major gynecologic surgeries typically carry a 90-day global period under Medicare, during which routine postoperative care is bundled.