Coding, Classification and Reimbursement

Uterus >250 gm Documentation

  • 1.  Uterus >250 gm Documentation

    Posted 11 days ago
    We have a provider that would like us to bill for hysterectomies based on the size documented in the path report. He does not document the size in his operative report. Does anyone know of a coding guideline that specifically states the size needs to be documented in the operative report and/or billing for size can not be taken from the path report? 

    Thank you for any information you can provide.

    Kathleen Oberbeck, RHIT
    Coding Specialist
    Mile Bluff Medical Center