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Thread: Code for Revision of Vaginal Cuff, Removal of Knot

  1. #1

    Default Code for Revision of Vaginal Cuff, Removal of Knot

    AAPC: Back to School
    I need help with a code. The doctor states that the patient is post-hysterectomy, and that the vaginal cuff has a knot in it that needs to be removed. The patient's partner can feel the knot left at the surgical site. I was looking for some sort of scar revision code...but nothing is popping up. Any ideas?

  2. #2


    Yes, hard to find. Knot removal amounts to suture removal only.Revision needs to have repair or placing some sutures/ and irrigation sort of stuff there.
    Suture removal /Examination under anesthesia we have separate codes. Removal of impacted FB under anesthesia we do have a code. But not for the description we have at hand now, I believe.
    If it is away from global, we can have a E/M service.
    Do you have any more info as regards to the actual procedure?
    I really wish that some one comes out with great idea.
    ALL the best.

  3. #3


    I think there will be a removal of the knot, so definitely sutuere and irrigation. What revision code are you thinking?

  4. #4


    57150 irrigation of vagina / and or...........
    57200 suture of vagina, colporrhaphy (this could be trauma or surgery made/procedural, though, necessitating another incision or revision of the previous incision.
    Any injured site repair or suturing of the vagina, merits the term colporrhaphy.
    If that suites your situation with gap/or opening of the previous suture site,and resuturing, I feel the code 57200 could be thought of as well.
    I hope this helps you to consider.

  5. #5


    Thank you! 57200 looks correct. I appreciate your help.

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