Wiki Please help verify/disagree with my result

[broundy]

One of our physicians performed a:

Vaginal hysterectomy
Anterior and posterior colporrhaphy
Perineorrhaphy

I believe it should be:

58260 - vag hysterectomy
57260 - Anteroposterior colporrhaphy

I do not believe I would code the 57250 - perineorrhaphy.

I appreciate anyone's input!

Bonnie

 

[preserene]

Surgically, Vaginal Hysterectomy procedure includes anterior and posterior colporrhaphy and perineorrhaphy. No vaginal hysterectomy is complete without repairing pelvic floor; Pelvic floor Repair means anterior, posterior colporrhaphy and perineorrhaphy.

So in coding also, I feel that the anterior and posterior colporrhaphy are bundled with the Vaginal hysterectomy. The perineorrhaphy is always included when posterior colporrhaphy is undertaken.
So, vaginal hysterectomy code (as per the uterine wt) would suffice.

Watch out if there was removal of tube(s) and/or ovary(s) , OR, there was enterocele which needed repair ; then there is a another code for defining them.
Hope this helps to assign the appropriate code.

 

[broundy]

Thank you so much for your help.


Bonnie

 

[tefranklin57]

Vag Hyst with A&P

According to the NCCI edits, there is no restrictions using 58260 with 57260. Try www.cms.gov/nationalcorrectcodinted, then NCCI edits-physicians will be on the left side, continue from there.