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Vaginal Cautery

Tammy Posted Wed 08th of March, 2017 08:58:57 AM
PROCEDURE(S): Cautery of vaginal cuff. Over suturing of vaginal cuff. This area was then treated using silver nitrate to control this area. It was felt that because the patient was on anticoagulation therapy that oversewing this area would be beneficial and therefore a figure-of-eight suture of 2-0 Vicryl was placed to oversew this area of the vaginal cuff. I was thinking code 57061 but she did not have lesions it is post hysterectomy and has brisk vaginal bleeding. Can I still use this code? thanks much!
SuperCoder Answered Thu 09th of March, 2017 08:52:27 AM

As there is no specific code for Cautery of vaginal cuff for post hysterectomy condition. So the appropriate code would be 58999 [Unlisted procedure, female genital system (nonobstetrical)]. If patient is in global period than also add 78 modifier with CPT 58999.  

Tammy Posted Wed 15th of March, 2017 13:49:33 PM
thank you...what would be a comparable to code to bill out. We need to have one. thanks.
SuperCoder Answered Fri 17th of March, 2017 14:28:36 PM

Hi Tammy,

If the repair is due to the original sutures coming loose, you can try 12020 (treatment of superficial wound dehiscence; simple closure). If the repair is necessary because of an injury, use 57200 (colporrhaphy, suture of injury of vagina [nonobstetrical]). If none of these fit, you will be stuck with 58999 (unlisted procedure, female genital system [nonobstetrical]). Remember to add modifier -78 (return to the operating room for a related procedure during the postoperative period) if the repair is related to previous surgery and you are in the global period. Using 12020 (Treatment of superficial wound dehiscence; simple closure) and 57200 (Colporrhaphy, suture of injury of vagina [nonobstetrical]). These codes are for either the simple closure of skin at the site of the wound separation or a vaginal approach procedure. Hope it helps.

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