Ob-Gyn Coding Alert

Question: My ob-gyn performed a Da Vinci assisted abdominal sacrocolpopexy, and I asked her if code 57425 was correct.. After looking at it, she replied, "This surgery also included a repair of vaginal cuff dehiscence." What should I report?

Virginia Subscriber

Answer: You won't find a separate code to reflect vaginal cuff dehiscence. If the ob-gyn repaired it via the laparoscope, you could report an unlisted procedure code, but you have no close comparisons to submit with it. Another option is to add modifier 22 (Increased procedural services) to 57425 (Laparoscopy, surgical, colpopexy [suspension of vaginal apex]) and hope her documentation supports the additional work.