Cpt Code For Pelvic Floor Repair

According to ama cpt instruction use cpt code 57267 in conjunction with cpt codes 45560 57240 57265 57285 there are no current medicare valuations for the above cpt codes for the physician office setting.

Cpt code for pelvic floor repair. Cpt code short descriptor md in office medicare allowed amount md in facility medicare allowed amount total office based rvus total facility based rvus pelvic floor repair procedures capio slim for native tissue repair or biologic graft 57240 anterior repair cystocele n a 613 n a 17 00 57250 posterior repair rectocele n a 614 n a 17 04. In contrast cpt code 90911 is used to bill for pelvic floor therapy training for the treatment of incontinence. Look at cpt codes 57550 57556 pelvic floor exercises are done to help strengthen your pelvic floor muscles. For paravaginal defect repair you need to know the approach to choose the correct ama cpt code.

Two procedural codes cpt code 90901 and cpt code 90911 are primarily used to code for biofeedback therapy. Perineocele n81 81 rectal prolapse k62 3 rectocele with prolapse of uterus n81 2 n81 4 n81 89 other female genital prolapse deficient perineum old laceration of muscles of the pelvic floor. Insertion of mesh 57267 59 insertion of mesh or other prosthesis for repair of pelvic floor defect each site anterior posterior compartment vaginal approach list separately in addition to code for primary procedure distinct procedural service cpt 57267 is an add on code used for application of mesh. Open abdominal approach vaginal.

Note how the 57240 code descriptor covers repair of both cystocele and urethrocele when the latter is performed. 90911 biofeedback training perineal muscles anorectal or urethral sphincter including emg and or manometry. N81 6 rectocele prolapse of posterior vaginal wall use additional code for any associated fecal incontinence if applicable r15 excludes2. Cpt code 90911 was created in 1994.

The following codes are thought to be relevant to common transvaginal pelvic floor procedures and are referenced throughout this guide. Cpt code 90901 is a non specific code that can be used for any modality of biofeedback therapy.