I'm not sure what to bill exactly with this. I'm thinking its just an enterocele?
...Vagina and perinum were prepped and draped in the sterile fashion. The posterior vaginal wall was retracted and Allis forceps on either side of the midline were incised vertically. In the avascular plane, the vaginal wall was separated from the rectocele, the upper portion of which formed the enterocele. Once the avascular plane was approximated in the midline with 0-vicryl horizontal mattress sutures to maintain reduction. The excess vaginal wall was then amputated and the vaginal mucosa was closed. The vaginal canal was somewhat foreshortened beforehand due to previous hysterectomy and it was slightly shorter even after completion of the rectocele repair but in order to maintain reduction of the enterocele, this was necessary...
I pulled up the surgery for an enterocele and my physician wants to bill for both... What CPT code do I use? Any help on this would be great! Thank you!
...Vagina and perinum were prepped and draped in the sterile fashion. The posterior vaginal wall was retracted and Allis forceps on either side of the midline were incised vertically. In the avascular plane, the vaginal wall was separated from the rectocele, the upper portion of which formed the enterocele. Once the avascular plane was approximated in the midline with 0-vicryl horizontal mattress sutures to maintain reduction. The excess vaginal wall was then amputated and the vaginal mucosa was closed. The vaginal canal was somewhat foreshortened beforehand due to previous hysterectomy and it was slightly shorter even after completion of the rectocele repair but in order to maintain reduction of the enterocele, this was necessary...
I pulled up the surgery for an enterocele and my physician wants to bill for both... What CPT code do I use? Any help on this would be great! Thank you!