Pelvic Prolapse Repair Procedures Involving Graft or Prosthesis

Effective October 1, 2007, new codes have been created to describe pelvic prolapse repair procedures that are restorative and compensatory in nature. Examples of pelvic restorative surgery include: cystocele and rectocele repair ( 70.53 ) ; vaginal construction/reconstruction ( 70.63 - 70.64 ) ; vaginal suspension/fixation ( 70.78 ) ; and enterocele repair ( 70.93 ) . Additionally, new codes ( 70.94 - 70.95 ) , which differentiate the type of graft or prosthesis (biological or synthetic substance) used in these pelvic procedures have been created as well. New code 70.53 Repair of cystocele and rectocele...

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

Article Overview

This article covers coding changes for pelvic prolapse repair procedures involving graft or prosthesis, including related vaginal and cul-de-sac procedures and the material-specific codes used with them. It matters for coders working in gynecology, urogynecology, and inpatient or procedural coding workflows who need to understand the structure of the updated code set and the related reporting notes. The article also identifies the effective date and distinguishes between biological and synthetic graft/prosthesis categories at a high level.

Why This Topic Matters

These code updates affect how pelvic reconstructive procedures are represented in claims and records, especially when graft or prosthesis material is involved. Understanding the scope of the changes helps coding professionals recognize when the article applies and where supporting codes are referenced.

Article Sections

  1. Overview and effective date

    Introduces the coding update and the date it took effect. Summarizes the general procedural categories covered by the article.

  2. Pelvic prolapse repair procedure codes

    Lists the procedure categories addressed by the update, including repair, construction, reconstruction, suspension, fixation, and cul-de-sac operations. Notes the relationship between these procedures and graft or prosthesis reporting.

  3. Material-specific graft or prosthesis codes

    Describes the codes used to identify the type of graft or prosthesis material involved. Includes general notes on biological and synthetic categories and the related reporting references.

What You Will Learn

  • Which pelvic prolapse repair procedure categories are included in the update
  • How the article organizes procedure reporting alongside graft or prosthesis material identification
  • Which material-specific code categories are referenced for biological and synthetic substances
  • The effective date associated with the coding change

Who Should Read This

  • Medical coders
  • Coding auditors
  • Revenue cycle staff
  • Gynecology and urogynecology practices
  • Hospital coding departments

Codes Discussed

Code Ranges Discussed

  • ICD-9-CM: 70.63-70.64

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