Urology Coding Alert

Reader Question:

Colpopexy in Code 57282 Includes Culdoplasty

Question: The urologist performed sacrospinous ligament fixation and Halban culdoplasty during the same operative session. The diagnosis codes are N81.11, N36.2, R31.0, and R39.12. What CPT® codes should I use?

New Hampshire Subscriber

Answer: The correct procedure code for sacrospinous ligament fixation is 57282 (Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus)). Culdoplasty is considered to be part of culpopexy included in 57282. Therefore, you will not report a separate code for the culdoplasty.

Include all the diagnoses mentioned, assuming the documentation supports each:

  • N81.11 – Cystocele, midline
  • N36.2 – Urethral caruncle
  • R31.0 – Gross hematuria
  • R39.12 – Poor urinary stream.


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