|July 2003 · Vol. 15, No. 7
Emergency repair of the vaginal cuffMELANIE
RN, CPC, MA
Ms. Witt, former program manager in the Department of Coding and Nomenclature at the American College of Obstetricians and Gynecologists, is an independent coding and documentation consultant. Reimbursement Adviser reflects the most commonly accepted interpretations of CPT-4 and ICD-9CM coding. When in doubt on a coding or billing matter, check with your individual payer.
Q We have a patient who, 3 weeks after a vaginal hysterectomy, presented to the emergency room with significant vaginal bleeding. She was taken to the operating room for a vaginal-approach exploration and suture of the vaginal cuff. How would I code for this?
A This situation seems to occur quite frequently, judging from the number of questions I get on the topic. There is no CPT code specific to the repair of the vaginal cuff. The closest codes seem to be: