Colovag fistula/gracilis flap/advancement flap

susanlwright

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The surgeon performed a perineal resection of a fistula between her rectum and vagina. He used a gracilis muscle flap to repair the perinum and a rectal advancement flap to reconnect the rectum to the anus. Any thoughts on the CPT codes? I was thinking 57308 or 58999 for the fistulectomy. 15650 for the advancement flap and not sure about the gracilis.
 
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