One fibroid, attempted ablation, completed removal

Treatment plan

Fictional adult has a documented symptomatic uterine fibroid. The surgeon plans laparoscopic ablation of that lesion. The operative record identifies the single target and does not describe treatment of another fibroid elsewhere in the uterus.

Procedure sequence

The surgeon begins the planned ablation but cannot complete the treatment by that method. The same fibroid is then removed by laparoscopic myomectomy during the same encounter. The report identifies the completed removal and explains the change in treatment.

Lesion identity

The ablation attempt and the myomectomy concern the identical fibroid. A specimen is submitted after removal. The presence of a specimen does not establish a second lesion, and the two technique names do not imply two independently treated targets.

Reporting question

The draft lists both the attempted ablation and completed myomectomy. Apply the same-fibroid NCCI relationship before final book selection. This exercise does not ask the learner to infer a separate-lesion exception or to use a deleted prior-year entry.

Your coding worksheet

1. Identify the completed treatment.
2. Confirm whether one or several fibroids are involved.
3. Evaluate both proposed procedure lines.
4. Preserve the reason for the changed method.

In your notebook, record the supported facts, your index route, the instructions you checked, and any missing detail that limits your answer.