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Exploratory laparotomy, reduction of incarcerated small bowel, vaginal cuff dehi

Becky Posted Thu 16th of February, 2017 14:58:33 PM
Exploratory laparotomy, reduction of incarcerated small bowel that had protruded thru vagina , and closure vaginal cuff dehiscence This was able to be reduced by one hand in vagina one hand in abdomen I was thinking 57200 and 44050???? too much?
SuperCoder Answered Tue 21st of February, 2017 04:19:51 AM

I suggest you to use CPT code 57268. This code is for repair of enterocele, vaginal approach (separate procedure). In this procedure, the physician repairs the vaginal wall where the small bowel in pushing through to the vaginal canal. This is a vaginal approach procedure.  After the provider dissects the enterocele sac from the vagina and the rectum, he enters and explores it to make sure that no small bowel or omentum adhesions are present. He sutures the sac closes and removes any excess vaginal wall. 

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