Pathology returned for actinomycosis, so I will perform a robotic assisted laparosopic removal of the retropubic arms of the mesh, since the midurethral portion was previously removed. Excision of granulation tissue vagina. I coded appropriately. Sometimes during healing, granulation can occur. I recently treated a woman with stage 4 prolapse and stress incontinence. The new patient visit could list the reason patient presents such as Overactive bladder while the CPT code would be designated for her condition such as incomplete bladder emptying. This is taken out with ring forceps and then cauterized with electrocautery without any complication.
Coding Laparoscopic Hysterectomy Procedures - ACOG
I am told that I can't bill for removal of a mesh sling and placement of a fascial sling at the same time; i. But our coding experts point you in the right direction. The tube and ovary were withdrawn through transvaginally when freed from attachments. Provider performed excision of the granulation tissue. The diagnosis of FTP needs postoperative observation and careful examination of the vaginal vault. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.