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Ob-Gyn Coding Alert

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Sacrospinous Colpopexy, A&P Repair With Mesh Insertion

Published on Sun Sep 20, 2009

Question: My ob-gyn performed a transobturator tape (TOT) sacrospinous colpopexy and an anterior and posterior (A&P) repair with insertion of mesh. We intend to report 57288, 57282-51, 57282-51, 57260-51, and 57267-51. Are these codes correct and in the best order? Virginia Subscriber Answer: Although many ob-gyns describe a sacrospinous colpopexy as "bilateral," you should only report 57282 (Colpopexy, vaginal; extra-peritoneal approach [sacrospinous, iliococcygeus]) once. This code does not take a bilateral modifier and includes fixation to both sides. Code +57267 (Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site [anterior, posterior compartment], vaginal approach [List separately in addition to code for primary procedure]) is an add-on code. You can report it once for the mesh in the anterior vaginal wall and once for the posterior wall. Because this is an add-on code, you should not append a modifier. Keep in mind, however, payers will look [...]
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