Advanced Search

Ob-Gyn Coding Alert

Reader Questions:

Research Your Ob-Gyn's Report for Rectocele/Enterocele

Published on Tue Aug 02, 2005

Question: If the ob-gyn states he did a posterior/anterior repair because of vaginal vault prolapse, would that be the same as 57260? The ob-gyn did not document a cystocele or rectocele, but the ob-gyn encountered enterocele.

Florida Subscriber Answer: No, you should not report 57260 (Combined anteroposterior colporrhaphy). An ob-gyn would not perform an anterior repair unless she was dealing with a cystocele. An ob-gyn can do a posterior repair for either a rectocele or an enterocele, however.
 
If he did only an enterocele repair, use the enterocele repair codes (57268 (Repair of enterocele, vaginal approach [separate procedure]) or 57270 (Repair of enterocele, abdominal approach [separate procedure]).
 
Note: In order to report 57260, you have to give a diagnosis of both cystocele (618.01, Cystocele, midline; or 618.02, Cystocele, lateral) and rectocele (618.04) to support doing the procedure. Speak to your ob-gyn regarding his diagnosis.  - The answers for Reader Questions and You Be the Coder were provided by Melanie Witt, RN, CPC, MA, an ob-gyn coding expert based in Guadalupita, N.M.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Ob-Gyn Coding Alert

View All