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: