A 38-year-old female patient with severe endometriosis and urethral malignancy received pelvic exenteration with removal of bladder and ureteral transplantations. The patient also received a full hysterectomy. What is the correct code for this service?

Question

Quizplus · Accepted Answer

The correct code for this service is 51597 (Pelvic Exenteration, Complete, for Vesical, Prostatic, or Urethral Malignancy, with Removal of Bladder and Ureteral Transplantations, with or without Hysterectomy and/or Abdominoperineal Resection of Rectum and Colon and Colostomy, or any Combination Thereof). Code 58285, for radical hysterectomy, should not be reported separately, as code 51597 already includes hysterectomy. Code 58240 is incorrect because it is used for a pelvic exenteration performed due to a gynecologic malignancy. In this case, the patient had a urethral malignancy, not gynecologic malignancy.

A 38-Year-Old Female Patient with Severe Endometriosis and Urethral Malignancy