Code for Revision of Vaginal Cuff, Removal of Knot

LynaeH

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I need help with a code. The doctor states that the patient is post-hysterectomy, and that the vaginal cuff has a knot in it that needs to be removed. The patient's partner can feel the knot left at the surgical site. I was looking for some sort of scar revision code...but nothing is popping up. Any ideas?
 

preserene

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Yes, hard to find. Knot removal amounts to suture removal only.Revision needs to have repair or placing some sutures/ and irrigation sort of stuff there.
Suture removal /Examination under anesthesia we have separate codes. Removal of impacted FB under anesthesia we do have a code. But not for the description we have at hand now, I believe.
If it is away from global, we can have a E/M service.
Do you have any more info as regards to the actual procedure?
I really wish that some one comes out with great idea.
ALL the best.
 

LynaeH

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I think there will be a removal of the knot, so definitely sutuere and irrigation. What revision code are you thinking?
 

preserene

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57150 irrigation of vagina / and or...........
57200 suture of vagina, colporrhaphy (this could be trauma or surgery made/procedural, though, necessitating another incision or revision of the previous incision.
Any injured site repair or suturing of the vagina, merits the term colporrhaphy.
If that suites your situation with gap/or opening of the previous suture site,and resuturing, I feel the code 57200 could be thought of as well.
I hope this helps you to consider.
 
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