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Vag Hyst w Cystocele repair

  1. #1
    Location
    Cape Girardeau, MO
    Posts
    11
    Default Vag Hyst w Cystocele repair
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    Tying to code a Vaginal Hysterectomy with bilateral salpingo-oophorectomy and cystocele repair. Ive looked at this so long that I have totally confused myself!!! The Vag. Hyst. w Bilat. Salp-Ooph code is pretty easy to find. I can not figure out which code to use for the Cystocele Repair. ...58263 is with repair of Enterocele NOT Cystocele.
    C Darlene Ury, CPC

  2. #2
    Location
    Green Bay, WI
    Posts
    71
    Default
    I'm thinking possibly CPT 57240, but can you give more details on how the cystocele was repaired? Was it repaired via a vaginal incision? Was it repaired laparoscopically? I recall struggling with this in the past too.

  3. Default
    For open vaginal procedure, you are absolutely correct- Vaginal Hysterctomy code with 57240 if recto/enterocele not combined.

  4. #4
    Location
    Green Bay, WI
    Posts
    71
    Default
    In addition to CPT 57240, the other code I was looking at is CPT 57285. If mesh was used, then CPT 57267 would be reported in addition to CPT 57240 or 57285. These are both vaginal approach codes.

  5. #5
    Location
    Cape Girardeau, MO
    Posts
    11
    Thumbs up
    Thanks for the response! I was thinking that 57240 was the second code I needed but I wasn't completely sure. I really appreciate the assitance!!
    C Darlene Ury, CPC

  6. #6
    Location
    Green Bay, WI
    Posts
    71
    Default
    You're welcome!! Happy coding & Happy Friday to you!

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