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posterior repair and enterocele repair

Lynn Posted Thu 17th of December, 2015 09:05:01 AM

My doc performed a posterior and enterocele repair together no anterior repair. 57265 includes anterior repair. What would I use?

SuperCoder Answered Fri 18th of December, 2015 03:23:43 AM

Well,

There is no separate code for this procedure posterior colporrhphy with enterocele repair. You can use modifier -52 (Reduce service) with CPT 57265 to code this service.

Make sure to attach operative report with the claim form to justify the procedure and to eliminate the risk of denial.

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