The operative report stated that a complete hysterectomy was performed. However, within the body of the report, it states a laparoscopic instrument was used. The coder should query the physician with:
"An open hysterectomy reimburses at a higher rate. Please amend the chart."
"Was an open hysterectomy performed?"
"How long was the patient on the operating table?"
"What approach was used to perform the hysterectomy?"
"An open hysterectomy reimburses at a higher rate. Please amend the chart."
"Was an open hysterectomy performed?"
"How long was the patient on the operating table?"
"What approach was used to perform the hysterectomy?"