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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

laparoscopic robotic uterosacral ligament fixation – Need help coding this procedure.

Need help on a procedure –

laparoscopic robotic uterosacral ligament fixation involving suspending the vaginal apex from shortened, plicated uterosacral ligaments in a manner analogous to the vaginal uterosacral ligament fixation.

Everything that I am finding points to using the unspecified procedure 58999. The closest CPT I find is 57283 (colpopexy vaginal, intraperitoneal).

I have a urogyencology office which is looking to utilize this procedure a lot and I need to find the best way to code this. I have never had to bill out an unspecified procedure before and I need guidance of how this is to be done.

Any help/guidance will be greatly appreciated.

Thanks everyone!

Medical Billing and Coding Forum

laparoscopic robotic uterosacral ligament fixation – Need help coding this procedure.

Need help on a procedure –

laparoscopic robotic uterosacral ligament fixation involving suspending the vaginal apex from shortened, plicated uterosacral ligaments in a manner analogous to the vaginal uterosacral ligament fixation.

Everything that I am finding points to using the unspecified procedure 58999. The closest CPT I find is 57283 (colpopexy vaginal, intraperitoneal).

I have a urogyencology office which is looking to utilize this procedure a lot and I need to find the best way to code this. I have never had to bill out an unspecified procedure before and I need guidance of how this is to be done.

Any help/guidance will be greatly appreciated.

Thanks everyone!

Medical Billing and Coding Forum

Robotic assisted excision of anterior symphysis pubis chondromas

My doctor was doing a robotic laparoscopic prostatectomy and came across these chondromas and decided he need to remove these before he could continue with the prostatectomy.

I then went to the anterior abdominal wall and brought down the medial umbilical ligaments and the urachus and dissected down to the endopelvic fascia. There were significant what appeared to be chondromas growing off of the symphysis pubis. They were mobile. I did take small samples and sent this for a frozen to verify that it was not prostate cancer as it was not terribly fixed, but somewhat soft and firm and adherent to they symphysis area.

Any idea of what CPT code I would use for this, or would this be included in prostatectomy?

Medical Billing and Coding Forum

Robotic Simple Prostatectomy

My question is regarding a Robotic SIMPLE Prostatectomy. There is only one robotic CPT code for a prostatectomy in the CPT book and that code reads:

55866- Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance when preformed.

Since a simple prostatectomy does not include everything listed in the description of CPT code 55866, I have been adding a 52 modifier for reduced services. Is this correct or should I be billing something different? My docs are worried we are missing out on money by adding a 52 modifier.

Any input will be greatly appreciated!

Medical Billing and Coding Forum