CPT^® 57423, Under Endoscopy/Laparascopy Procedures on the Vagina

The Current Procedural Terminology (CPT^®) code 57423 as maintained by American Medical Association, is a medical procedural code under the range - Endoscopy/Laparascopy Procedures on the Vagina.

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Summary

In this procedure, the provider repairs a paravaginal defect using a laparoscopic approach. The provider may also perform a cystocele repair as part of this procedure.

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Forum

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Urogynecology denial

57425, 57423, 58571, 57288, 52281, 56800 were coded. 57423 was denied, and insurance is trying to recoup payment on 56800 saying repair of introitus was not performed, rather a perineorrhaphy. Looki... [ Read More ]

Medicare denial of 57423

[QUOTE="csperoni, post: 501269, member: 164618"] 57423 Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach is a current valid code and should be recognized b... [ Read More ]

Medicare denial of 57423

57423 Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach is a current valid code and should be recognized by all MACs. I'm guessing either: 1) The denial i... [ Read More ]

Medicare denial of 57423

Saying code not recognized by Medicare.... .... [ Read More ]

Post-op vaginal cuff dehiscence repair

There's no exact code, but you do have a few options. From [URL]https://www.mdedge.com/obgyn/article/61388/practice-management/emergency-repair-vaginal-cuff[/URL] There is no CPT code specific to the ... [ Read More ]

Vaginal cuff exposure, followed by closure

My issue is that the op note twice states "as described" without describing. :confused: "Once this was completed vagina sewed the cuff up [B]as described [/B]and then we removed of inflamed tissue an... [ Read More ]

HELP PLEASE- Billing a surgery

How about if I suggest to opt for 57423 paravaginal defect repair(including repair of cystocele) laparoscopic approach. While cystocele is included , rectocele or enterocele which are also a component... [ Read More ]

uterosacral ligament plication

We are billing for Laparoscopic Hysterectomy and our provider wants to know if he can also bill for what he describes as a Uterosacral Ligament Plication. I am unable to locate a specific code, close... [ Read More ]

vaginal cuff dehiscence repair by laparoscope

You are fine.Was it a prev hysterectomy case? But I feel the code[B] 57423 [/B]Paravaginal defect Repair, laparoscopic approach would be more appropriate for this scenario. Why? : because the proce... [ Read More ]

Vaginal Cuff Repair Coding

Check out codes 57291-57285 & 57423. I think one of these codes would be more acurate depending on approach etc...w/ the 78 modifier... [ Read More ]

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