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Urology/Mesh Removal

Cherie Posted Mon 16th of November, 2015 09:35:27 AM

Dr did an open removal of mesh from the epithelium and mesh that was eroding into the bladder. This involved opening the bladder up and dissection being done to remove all exposed mesh. They did the cystotomy to be able to get to the mesh to remove it. Please let me know what you think.

SuperCoder Answered Tue 17th of November, 2015 02:03:27 AM

Use CPT code 57287 for removal of mesh.

For more information, Please refer to the below mentioned link:

https://www.supercoder.com/coding-newsletters/my-urology-coding-alert/reader-question-pubovaginal-sling-article

Cherie Posted Wed 18th of November, 2015 13:30:05 PM

This also, is mesh from a cystocele repair. Would it still be the same code.

SuperCoder Answered Thu 19th of November, 2015 03:31:48 AM

Yes. I will use the same code for removal of mesh.

Just for the sake of information:

If a female patient presents to your office within the 90-day global period of the original sling placement and the urologist simply needs to remove or trim the extruding synthetic material in a designated office procedure room, this procedure would be coded as 10120 Incision and removal of foreign body, subcutaneous tissues; simple. In this scenario, the physician may only be incising or removing a small piece of mesh that is extruding through the vaginal epithelium. The procedure is less intrusive than removing the originally placed sling, which requires surgical incisions and more physician time and surgical effort. A full sling removal or revision is not performed in this scenario. Since the physician is performing this simple procedure in a designated procedure room within the office, modifier 78 Unplanned return to the operating/procedure room by the same physician or other qualified healthcare physician following initial procedure for a related procedure during the postoperative period must be used as well.

Cherie Posted Thu 19th of November, 2015 16:55:07 PM

Thank you very much!

SuperCoder Answered Fri 20th of November, 2015 00:39:42 AM

Wellcome

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