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Ob-Gyn Coding Alert

Reader Question:

Stop Searching for Lysis in Vaginal Cuff

Published on Sun Jan 07, 2007

Question: My ob-gyn documented -lysis of adhesive (vertical band) in the vaginal cuff.- How should I report this? Virginia Subscriber

Answer: You won't find any code that comes close to the procedure you describe, so you will have to use 58999 (Unlisted procedure, female genital system [non-obstetrical]) -- the same code you would report for granulation of the vaginal cuff or bleeding of the cuff following hysterectomy.

None of the codes fit for excising anything other than a lesion from the vagina, and payers would not consider this procedure a colporrhaphy under the CPT definition.

Remember, you-ll have to be extra vigilant with your documentation and provide a description of the procedure in plain English as well as a comparison to a procedure that has an existing code (if possible).
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