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CPT 45560: Rectocele Repair (Vaginal)
CPT code 45560 covers surgical repair of a rectocele — correction of a forward protrusion of the rectum into the vagina. The procedure addresses pelvic organ support defects that can cause obstructed defecation, vaginal bulge, and pain, and is a common pelvic reconstructive surgery following vaginal childbirth. Nationally, this code is relevant to surgical specialists in urogynecology, colorectal surgery, and general gynecology and impacts hospital and ambulatory surgery utilization and reimbursement for pelvic floor reconstruction.
Key payers in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, typical sites of service, and the operational considerations that affect coding and billing. The publication provides benchmarks and comparisons where available, explains common billing constructs associated with pelvic reconstructive procedures, and summarizes policy and coverage considerations that affect payment and utilization nationally. Data not available in the input are noted where applicable.
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Billing Code Overview
CPT code 45560 describes a surgical repair of a rectocele, a forward protrusion of the rectum into the vagina. This procedure is performed to correct pelvic floor support defects that commonly arise after vaginal childbirth, particularly following delivery of a larger-than-average infant.
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Service type: Surgical repair of pelvic floor defect (rectocele repair)
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Typical site of service: Hospital operating room or ambulatory surgical center