Surgery: Female Genital System [Q & A] (May 2011)

May 2011 page 9b Surgery: Female Genital System Question: The patient has a complex pelvic prolapse including uterovaginal prolapse, enterocele, and rectocele. Multiple lacerations in the pubocervical fascia and rectovaginal fascia were found. After completing the vaginal hysterectomy for a uterus weighing 230 g, specific repairs were done in the posterior compartment (rectocele and enterocele) and a graft was used to augment each repair as the quality of the tissue was poor. A vaginal uterosacral colpopexy was performed as well. How would this be reported? Can code 57267 be reported twice? Answer: For the vaginal hysterectomy, code 58260 , Vaginal...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This May 2011 CPT Assistant Q&A article reviews a female genital system surgical scenario involving pelvic organ prolapse repair after vaginal hysterectomy. It is aimed at coders, billers, and clinical documentation staff who need to understand how the article discusses procedure reporting, use of supplemental mesh-related coding, and procedure sequencing for this type of case.

Why This Topic Matters

Pelvic floor reconstruction cases often involve multiple related procedures and documentation nuances. This article helps readers understand the coding topics and structure of guidance discussed in a complex gynecologic surgery example without exposing the premium coding detail.

Article Sections

  1. Question

    Presents a gynecologic surgery coding scenario involving pelvic organ prolapse repair and related operative findings.

  2. Answer

    Summarizes the coding discussion for the procedures described in the scenario, including the major procedure categories addressed.

What You Will Learn

  • How a complex female pelvic reconstructive surgery case is discussed in a CPT Assistant Q&A format.
  • Which broad procedure categories are considered when multiple prolapse-related repairs occur in one operative setting.
  • How supplemental mesh-related guidance is presented in the context of pelvic floor defect repair.
  • How the article frames coding questions involving vaginal hysterectomy and vaginal colpopexy.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Gynecology practice staff
  • Revenue cycle professionals
  • Clinical documentation specialists

Codes Discussed


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