AHA Coding Clinic® for HCPCS - 2022 Issue 1; Ask the Editor

Laparoscopic repair of vaginal cuff dehiscence

A patient who was status post robotic total hysterectomy with bilateral salpingectomy presented with vaginal cuff dehiscence. Upon vaginal examination, mucosa was palpated confirming an open vaginal cuff. Bowel was suspected to be adherent to the vaginal apex. Therefore, a decision was made to proceed with a laparoscopic lysis of adhesions. Trocars were inserted into the umbilicus and abdomen. Lysis of adhesions was performed including adhesions into the pelvis. The area of bowel adherent to the vagina apex required removal with sharp dissection. Following closure, the vaginal mucosa was reinforced with sutures. Surgical snow and a fibrin sealant were applied over the vaginal apex and lower right quadrant fascial incision incorporating the peritoneum. What is the correct CPT code for the laparoscopic repair of vaginal cuff dehiscence? ...

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