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Help! Rpr Colovaginal Fistula

  1. Question Help! Rpr Colovaginal Fistula
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    I have been having problems appealing 44799 unlisted procedure. To my knowledge no code exists for a colovaginal fistula repair. This is usually when the colon (not rectum, bladder, urethra,etc) is stuck down to the vagina. Usually, these patients do not have a uterus. Ins companies keep telling us that a better code exists but cannot tell us what. The only thing I can think of is that they wanting a repair rectovaginal code. However, in these cases it is the intestine/colon and not the rectum. One MD has suggested billing a colporrhaphy (57200) but isn't this code primary used for vaginal trauma repair? Has anyone come across this? Any suggestions?

    Anna Barnes, CPC, CGSCS

  2. #2
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    Quote Originally Posted by acbarnes View Post
    I have been having problems appealing 44799 unlisted procedure. To my knowledge no code exists for a colovaginal fistula repair. This is usually when the colon (not rectum, bladder, urethra,etc) is stuck down to the vagina. Usually, these patients do not have a uterus. Ins companies keep telling us that a better code exists but cannot tell us what. The only thing I can think of is that they wanting a repair rectovaginal code. However, in these cases it is the intestine/colon and not the rectum. One MD has suggested billing a colporrhaphy (57200) but isn't this code primary used for vaginal trauma repair? Has anyone come across this? Any suggestions?

    Anna Barnes, CPC, CGSCS
    I come up with a 58999 (unlisted, female genital system) which is still unlisted, but 3M takes me here when I go through repair, fistula, colovaginal. Sorry, can't be more definitive than this.

  3. Default mhvw
    I would try the 57300 or 57305 for repair.

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