TABLE 1.
Procedure codes for hysterectomy and pelvic floor repair, ICD-9-CM, and Berkson codes
| Procedure | ICD —9-CM codes (1988-2002) |
Berkson codes (1965-1987) |
|---|---|---|
| Hysterectomy | ||
| Subtotal hysterectomy | 68.3 | 4694, 4695 |
| Total abdominal hysterectomy | 68.4 | 4680, 4690 |
| Vaginal hysterectomy | 68.5,68.59 | 4700 |
| Vaginal hysterectomy with repair of multiple pelvic relaxation conditions | NA | 4710 |
| Laparoscopic-assisted vaginal hysterectomy | 68.51 | NA |
| Radical abdominal hysterectomy | 68.6, 68.7 | 4720 |
| Other and unspecified hysterectomy | 68.9 | |
| Uterine suspensions | 69.21, .22, .23, .29 | 4670 |
| Pelvic floor repair | ||
| Repair of cystocele, urethrocele | 70.51 | 4990a |
| Repair of cystocele and rectocele | 70.50 | 4994 |
| Repair of rectocele | 70.52 | 4980 |
| Vaginal construction and reconstruction | 70.6, 70.61, 70.62 | 4994 |
| Vaginal suspension and fixation/other operations cul-de-sac | 70.77, 70.92 | 4994 |
| Obliteration of the vaginal vault (LeFort operation) | 70.8 | 4994 |
| Colpoperineoplasty | 70.79 | 4980 |
NA, not applicable.
a
Code 4990 refers to “plastic vaginal operation,” which includes Fenton’s, Kennedy, Marshall-Marchetti-Krantz, enterocele repair, cystocele repair, and vaginal septum division.