Supracervical hysterectomy-58180 to be reported as the main procedure.
Colpopexy can share as a combined code.
This my openion.
57288 open procedure can reported for sling/TVT procedure.
As per AMA
Sling/TVT tape procedures-
Use the 57288 code if the procedure is performed as an open procedure. According to the AMA's CPT Assistant newsletter, CPT code 57288 describes the placement of fascia or other materials at the urethrovesical junction to encircle and suspend the urethra for treatment of stress incontinence. The ends of the sling are pulled toward the symphysis pubis and fastened to the rectus abdominus sheath. This procedure is for a combined anterior vaginal and abdominal approach.
If tape is used in the procedure, don’t forget to bill for the TVT tape — the C1771 HCPCS code can be used to bill for the sling supply to some payors, if the payor reimburses for implants. However, don’t use C-codes to bill implants to Medicare. Other possible codes to use instead (depending upon the payor) include L8699 or 99070.
But in our case, the posterior repair has to be addressed to if done and documented.
the code 57250 is not combined in any of the above procedures.
(if no mention of repair of rectocele, 57250 would go with)
So to consolidate I think 58180, 57288, 57250-51 and HCPCS code if tape used would do.
I still would like some experts openion to confirm .