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Ob-Gyn Coding Alert

Location and Approach Matter Most for Prolapse Repairs

Published on Tue Jan 19, 2010

Pinpoint the coding differences between cystocele, rectocele, and enterocele. Are you confused by when to report vaginal prolapse repair codes alone and when to report them together? The solution is two-fold: the exact type of prolapse (cystocele, uterine or vaginal vault, rectocele, or enterocele) and the ob-gyn's surgical approach. Cystocele? Choose Between Two Options Scenario: A patient may present to your office with a prolapse of the anterior vaginal wall, which is commonly called a cystocele (618.01, Prolapse of vaginal walls without mention of uterine prolapse; cystocele, midline; or 618.02, Prolapse of vaginal walls without mention of uterine prolapse; cystocele, lateral). -- ICD-10: When your diagnosis code system changes: Code 618.01 will become N81.10 (Cystocele, unspecified) or N81.11 (Cystocele, midline). Code 618.02 will become N81.12 (Cystocele, lateral). Your physician will perform either an anterior colporrhaphy or a paravaginal defect repair, so you'll have to choose between two procedure codes. Weigh Your [...]
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