Question

A 39-year-old female presents with an ectopic pregnancy. Due to previous abdominal surgeries, the surgeon is unable to perform a laparoscopic fallopian tube removal and must use an open procedure to successfully perform the removal. The physician elects to surgically treat this patient by using an open approach to her abdomen to remove her left fallopian tube and ovary, along with the products of conception. Select the appropriate CPT and ICD-10-CM codes:

Answer 1

A 39-year-old woman is diagnosed with an “ectopic pregnancy”, which is a type of pregnancy where the fertilized egg gets implanted and grows mostly in an oviduct. This is also called a tubal pregnancy.

Laparoscopic fallopian tube removal cannot be performed due to the patient's previous abdominal surgeries. As an alternative, the open procedure must be followed and her left fallopian tube was removed with ovary and “remains of conception”. The removal of unilateral (one) or bilateral (both) oviducts surgically is called salpingectomy. The removal of ovary surgically is called oophorectomy.

The appropriate ICD 10 CM code for the respective case is 000.1.

The appropriate CPT code for the respective case is 59151.