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UROGYNECOLOGY CODING QUESTIONS.

URSULA Posted Tue 21st of February, 2017 17:00:12 PM
How do I code this so that I am not missing my higher reimbursement for this scenario. I am an Urogynecology specialist office. I have chosen 12001, 57426, 27067, 49659, 57268, 57250, 57282, 52000 Procedures are : VAGINAL EXPLORATION, VAGINAL SCAR TISSUE REVISION, REMOVAL OF SACRAL SPINOUS LIGAMENT SUTURE, PUDENDAL NERVE RELEASE, POSSIBLE POSTERIOR REPAIR, CYSTOSCOPY, levator hernia repair and a Iliococcygeal vault suspension.
SuperCoder Answered Wed 22nd of February, 2017 02:03:22 AM

1). VAGINAL EXPLORATION = Exploration of the surgical field is not separately reportable.

2). VAGINAL SCAR TISSUE REVISION = CPT 12001.

3). REMOVAL OF SACRAL SPINOUS LIGAMENT SUTURE = No specific CPT code. This should be included in the primary procedure(s).

4). PUDENDAL NERVE RELEASE = 64722

5). POSSIBLE POSTERIOR REPAIR = CPT 57250.

6). CYSTOSCOPY = CPT 52000. (Cystourethroscopy performed near the termination of an intra-abdominal, intra-pelvic, or retroperitoneal surgical procedure to assure that there was no intraoperative injury to the ureters or urinary bladder and that they are functioning properly is not separately reportable with the surgical procedure.)

7). Levator hernia repair = CPT 49659 (assuming that procedure was done through laparoscopic approach).

8). Iliococcygeal vault suspension = CPT code 57282.

The above documentation does not support CPT code 27067, 57268 and 57426.

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