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June 2005 · Vol. 17, No. 6

REIMBURSEMENT ADVISER

Can perineoplasty be coded with A&P repair?

Melanie  Witt,  RN, CPC, MA

Q

We billed an A&P repair using CPT code 57260 and perineoplasty with CPT 56810-51. It was denied as bundled. Should I have used modifier -59 (distinct procedure)?

A

No. Perineoplasty is the same thing as perineorrhaphy. Since this procedure is included with a posterior repair (code 57250) and you are billing for a combined posterior and anterior repair, the perineoplasty would be included in code 57260 as well.

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