AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2022 Issue 3; Ask the Editor

Repair of Prolapsed Neovaginal Graft

This same patient underwent repair of the prolapsed and nonhealing necrotic neovaginal graft, six days status post gender reassignment surgery. At surgery, the nonviable skin graft was removed and the neovagina was closed by suture of the external anal sphincter to the bulbospongiosus muscle. Zero depth vaginoplasty was performed, vulvar skin was excised and bleeding edges were advanced to create a dimple to replace the vaginal introitus. What procedure codes should be assigned for the zero depth vaginoplasty and feminizing vulvoplasty? ...

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