An 88-year-old widow with uterine prolapse and multiple comorbid conditions has been unsuccessful in the use of a pessary for treatment elects to receive colpocleisis (LeFort type) to prevent further prolapse and avoid more significant surgery such as a hysterectomy. The treatment is successful. What are the CPT® and ICD-10-CM codes reported for this procedure?

Options for the question are not given. They are as follows :

a. 59320, 618.3

b. 57130, 654.50

c. 57120, 618.1

d. 57020, 618.2

d. 57020, 618.2

Explanation:

CPT or Current Procedural Terminology is a list of medical codes which are assigned according to the treatment involved for a condition or disease. These codes are then used for reimbursement and billing purposes. Here, the patient is suffering from uterine prolapse. She was treated by colpocleisis technique which involves sewing together the walls of vagina so that the uterus can hold up. In CPT coding, 57020 corresponds to vaginal incision procedures hence the CPT code for her treatment will be 57020.

ICD-10-CM or International Classification of Diseases, 10th Revision, Clinical Modification is another coding system which classifies the condition or disease according to a set of codes. Here, the patient is suffering from uterine prolapse. In ICD-10-CM coding, 618.2 corresponds to incomplete uterovaginal prolapse. Hence, the ICD-10-CM code for her diagnosis will be 618.2.

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