Gerjevic KA, Newton H, Leggett C, Skinner J, Erekson E, Strohbehn K. Geographic variation in apical support procedures for pelvic organ prolapse. Obstet Gynecol 2022;139.
The authors provided this information as a supplement to their article.
©2022 American College of Obstetricians and Gynecologists. Page 1 of 4
Appendix 1. Current Procedural Terminology Codes for Procedures for Pelvic Organ Prolapse, Concomitant Surgeries, and Gynecologic Cancer
Procedure category CPT codes Included: Procedures for Pelvic
Organ Prolapse
Vaginal Prolapse Repair 58400, 57268, 57282, 57283, 58263, 58270, 58294 Abdominal Prolapse Repair 57270, 57280, 57296, 57426, 57425, 58400, 58410 Vaginectomy/Obliterative Prolapse
Procedure/LeFort 57106, 57110, 57120, 58275, 58280 Other concomitant Procedures
Sling 57288
Paravaginal repair 57284, 57285, 57423
Level 2 and 3 support 45560, 56810, 57220, 5723057240, 57250, 57260, 57265, Benign hysterectomy
TAH SCH TVH LAVH TLH LASH
51925, 58150, 58152 58180
58260, 58262, 58263, 58267, 58270, 58275, 58280, 58290, 58291, 58292, 58293, 58294
58550, 58552, 58553, 58554 58570, 58571, 58572, 58573 58541, 58542, 58543, 58544 Insertion of vaginal mesh 57267
Other Anti-incontinence procedure 51840, 51841, 51990, 51992, 57220, 57230, 57289
Mesh revision 57287, 57295
Exclude
Procedures for gynecologic cancer when using vaginectomy codes with POP diagnosis
57110, 58280
Lymph node dissection, Resection
Of diaphragm or Resection of omentum
38562, 38564, 38570, 38571, 38572, 38589, 38747, 38760, 38765, 38770, 38780, 39560, 39561
49203, 49204, 49205, 49215, 49220, 49255
Ovarian cancer 58943, 58950, 58951, 58952, 58953, 58954, 58956, 58957, 58958, 58960
Uterine cancer 58200
Cervical cancer 58210, 58240, 57531, 58285, 58548
Vulvar cancer 56630, 56631, 56632, 56633, 56634, 56637, 56640 Vaginal cancer 57107, 57109, 57111
CPT = current procedural terminology; TAH = total abdominal hysterectomy; SCH= supracervical hysterectomy; TVH = total vaginal hysterectomy; LAVH = laparoscopic assisted vaginal hysterectomy;
TLH = total laparoscopic hysterectomy; LASH = laparoscopic supracervical hysterectomy
Gerjevic KA, Newton H, Leggett C, Skinner J, Erekson E, Strohbehn K. Geographic variation in apical support procedures for pelvic organ prolapse. Obstet Gynecol 2022;139.
The authors provided this information as a supplement to their article.
©2022 American College of Obstetricians and Gynecologists. Page 2 of 4
Pelvic organ prolapse ICD-10 diagnosis codes ICD-10 diagnosis codes for POP
unspecified prolapse of vaginal walls N81.9
Cystocele, midline N81.10, N81.11
Cystocele, lateral N81.12
Urethrocele N81.0
Rectocele N81.6
Perineocele N81.81
Other female genital prolapse N81.89
Uterine prolapse N81.2
Uterovaginal prolapse, incomplete N81.2 Uterovaginal prolapse, complete N81.3 Uterovaginal prolapse, unspecified N81.4 Vaginal vault prolapse after hysterectomy N99.3
Vaginal enterocele N81.5
Old laceration of muscles of the pelvic floor N81.89 Other specified genital prolapse N81.83 Incompetence or weakening of the
pubocervical tissue N81.82
Incompetence or weakening of the
rectovaginal tissue N81.83
Pelvic muscle wasting N81.84
Cervical stump prolapse N81.85
Other specified genital prolapse N81.89 Unspecified genital prolapse N81.9
Gynecologic Oncology ICD-10 diagnosis codes ICD-10 diagnosis codes for Gynecologic Oncology Malignant neoplasm of retroperitoneum C48.0 Malignant neoplasm of peritoneum C48.2 Malignant neoplasm of endocervix C53.0 Malignant neoplasm of exocervix C53.1 Malignant neoplasm of overlapping sites
cervix uteri C53.8
Malignant neoplasm of cervix, uteri,
unspecified site C53.9
Malignant neoplasm of endometrium C54.1 Malignant neoplasm of myometrium C54.2 Malignant neoplasm of fundus uteri C54.3 Malignant neoplasm of corpus uteri,
unspecified C54.9
Gerjevic KA, Newton H, Leggett C, Skinner J, Erekson E, Strohbehn K. Geographic variation in apical support procedures for pelvic organ prolapse. Obstet Gynecol 2022;139.
The authors provided this information as a supplement to their article.
©2022 American College of Obstetricians and Gynecologists. Page 3 of 4
Malignant neoplasm of isthmus uteri C54.0
Malignant neoplasm of ovary C56.1, C56.2, C56.9 Malignant neoplasm of fallopian tube C57.0, C57.1, C57.2 Malignant neoplasm of vagina C52
Malignant neoplasm of labium majus C51.0 Malignant neoplasm of labium minus C51.1 Malignant neoplasm of clitoris C51.2 Malignant neoplasm of of vulva overlapping
sites C51.8
Malignant neoplasm of vulva C51.9
Malignant neoplasm of pelvis C76.3
Gerjevic KA, Newton H, Leggett C, Skinner J, Erekson E, Strohbehn K. Geographic variation in apical support procedures for pelvic organ prolapse. Obstet Gynecol 2022;139.
The authors provided this information as a supplement to their article.
©2022 American College of Obstetricians and Gynecologists. Page 4 of 4
Appendix 2. Correlation of crude to adjusted rates of apical pelvic organ prolapse procedures (2016–
2018).
