AAPC - Back to school
Results 1 to 2 of 2

Thread: rectoprostatic fistula repair code

  1. #1

    Default rectoprostatic fistula repair code

    AAPC: Back to School

    I have been searching all over for how to code this properly. I have found 45820 - closure of a recto[I]urethral[I] fistula, but the description of that approach is very different than what the surgeon did.

    He called it a "York-Mason repair of a rectoprostatic fistula with a right gracilis flap muscle interposition." I can find all kinds of reports online about this surgery with great descriptions and pics, but no info on how to code it.

    He incised along the posterior aspect of the anus and carried it up to the coccyx. He id'd all muscles and whatnot and tagged them on his way down to the fistula. He then excised the fistula and carried on with the rest of the surgery.

    I think what has me stumped is the approach he took. The articles say it is a difficult approach and the surgeon said it was a 6hr surgery.

    Any help would be so much appreciated!

  2. #2


    Have you found an answer? I think probably an unlisted code would work best.

Similar Threads

  1. Anal fistula repair
    By dbrandel in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 10-28-2015, 08:10 PM
  2. Colovaginal fistula repair
    By MEZIESKY in forum General Surgery
    Replies: 1
    Last Post: 08-21-2013, 02:39 PM
  3. Rectourethral fistula repair
    By AngieH in forum Urology
    Replies: 0
    Last Post: 09-25-2012, 08:37 AM
  4. Replies: 0
    Last Post: 07-08-2010, 11:54 AM
  5. repair cutaneous fistula
    By deborahcook4040 in forum General Surgery
    Replies: 0
    Last Post: 04-16-2009, 07:37 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.