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Understanding the CPT Code for Vaginal Mesh Excision

Category: Healthcare
October 2, 2023
2 years ago
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"What is CPT code for excision vaginal mesh? Learn about the appropriate CPT code for the excision of vaginal mesh, a common surgical procedure in gynecology."
Understanding the CPT Code for Vaginal Mesh Excision

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What is CPT code for excision vaginal mesh?

The CPT (Current Procedural Terminology) code for the excision of vaginal mesh can vary depending on the specific circumstances and the extent of the procedure. Different CPT codes may apply to different aspects of the removal or revision of vaginal mesh. Here are some common CPT codes that may be used for vaginal mesh excision or revision:

  1. 57267: This CPT code is used for the removal of vaginal mesh, including partial or complete removal, with or without the use of an endoscope.

  2. 57268: This code is for the complete removal of vaginal mesh when performed through an incision.

  3. 57295: Used for the revision or repair of vaginal mesh, including repositioning, reattachment, or alteration of the mesh.

It's important to note that the choice of CPT code will depend on the specific details of the procedure performed, and it is typically determined by the healthcare provider or surgeon based on the patient's condition and the complexity of the surgery.

Medical coding and billing are complex tasks, and they are typically handled by trained medical coders and billers who ensure that the correct codes are used to accurately reflect the procedures performed during a medical treatment or surgery. If you or someone you know is in need of this procedure, it's essential to consult with a healthcare provider or medical coding specialist to determine the appropriate CPT code for the specific case.

CPT Code for Vaginal Mesh Excision: A Medical Billing Guide

The CPT code for vaginal mesh excision is 57295, which is defined as "Revision (including removal) of prosthetic vaginal graft, vaginal approach."

This code is used when a surgeon removes vaginal mesh that has been previously implanted in a patient. Vaginal mesh is a synthetic material that is used to support the vaginal walls and treat conditions such as pelvic organ prolapse and stress urinary incontinence. However, vaginal mesh can sometimes cause complications, such as erosion, pain, and infection. If a patient experiences complications from vaginal mesh, a surgeon may recommend that the mesh be removed.

Medical Coding Demystified: Deciphering the CPT Code for Vaginal Mesh Excision

The CPT code for vaginal mesh excision is a five-digit code that is made up of three parts:

  • The first two digits (57) indicate that the code is for a surgical procedure.
  • The third digit (2) indicates that the code is for a procedure on the female reproductive tract.
  • The fourth and fifth digits (95) indicate that the code is for a revision (including removal) of a prosthetic vaginal graft, vaginal approach.

Surgical Procedures and Billing: The CPT Code for Vaginal Mesh Removal

The CPT code for vaginal mesh removal is used to bill for the surgeon's time and expertise in removing the mesh. The code also includes the cost of any materials that are used during the surgery, such as sutures and bandages.

The CPT code for vaginal mesh removal is typically billed to the patient's insurance company. The insurance company will pay for the surgery based on the patient's insurance coverage and the surgeon's fee schedule.

If you have any questions about the CPT code for vaginal mesh removal, please contact your insurance company or your surgeon's office.

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