Medical Coding

Category - 50,000 Series

A 55-year-old woman developed a rectovaginal fistula and is scheduled to have this closed by a vaginal approach. What is the correct CPT code for this procedure?
  1. 57300
  2. 57305
  3. 57310
  4. 57320
Explanation
Answer: A - 57300 is the correct code for closure of rectovaginal fistula by either vaginal or transanal approach.
Code 57305 is incorrect because this code is for closure of a rectovaginal fistula through the abdominal approach. Code 57310 is incorrect because this code is for the closure of urethrovaginal fistula and 57320 is incorrect because this code is for the closure of a vesicovaginal fistula using the vaginal approach.
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