|July 2003 · Vol. 15, No. 7
Postdelivery laceration repair, blood evacuationMELANIE
RN, CPC, MA
Ms. Witt, former program manager in the Department of Coding and Nomenclature at the American College of Obstetricians and Gynecologists, is an independent coding and documentation consultant. Reimbursement Adviser reflects the most commonly accepted interpretations of CPT-4 and ICD-9CM coding. When in doubt on a coding or billing matter, check with your individual payer.
Q Our physician did a laparotomy with evacuation of hemoperitoneum and a transvaginal repair of a cervicovaginal laceration. Both were performed on the same day as delivery. I was considering code 49020 for the hemoperitoneum, but am not sure about the laceration repair. Can you help?
A If your physician performed the delivery, the laceration repair will likely be included in the global service—unless it was a 3rd-degree or 4th-degree laceration. For such extensive wounds, look at codes 12001-12007, 12041-12047, and 13131-13133 to see which fits the situation described in the operative report.