Help! Rpr Colovaginal Fistula

acbarnes

Guru
Messages
113
Best answers
0
I have been having problems appealing 44799 unlisted procedure. To my knowledge no code exists for a colovaginal fistula repair. This is usually when the colon (not rectum, bladder, urethra,etc) is stuck down to the vagina. Usually, these patients do not have a uterus. Ins companies keep telling us that a better code exists but cannot tell us what. The only thing I can think of is that they wanting a repair rectovaginal code. However, in these cases it is the intestine/colon and not the rectum. One MD has suggested billing a colporrhaphy (57200) but isn't this code primary used for vaginal trauma repair? Has anyone come across this? Any suggestions?

Anna Barnes, CPC, CGSCS
 

Anna Weaver

True Blue
Messages
769
Location
Kokomo, IN
Best answers
0
I have been having problems appealing 44799 unlisted procedure. To my knowledge no code exists for a colovaginal fistula repair. This is usually when the colon (not rectum, bladder, urethra,etc) is stuck down to the vagina. Usually, these patients do not have a uterus. Ins companies keep telling us that a better code exists but cannot tell us what. The only thing I can think of is that they wanting a repair rectovaginal code. However, in these cases it is the intestine/colon and not the rectum. One MD has suggested billing a colporrhaphy (57200) but isn't this code primary used for vaginal trauma repair? Has anyone come across this? Any suggestions?

Anna Barnes, CPC, CGSCS
I come up with a 58999 (unlisted, female genital system) which is still unlisted, but 3M takes me here when I go through repair, fistula, colovaginal. Sorry, can't be more definitive than this.
 
Top