CPT® Code 74775

A perineogram, also known as a vaginogram, is a specialized imaging procedure utilized to assess and identify various anomalies within the pelvic region, particularly those affecting the vagina and surrounding structures. This procedure is crucial for diagnosing conditions such as anorectal angle anomalies, which can lead to fecal incontinence, as well as other pelvic floor disorders. The perineogram is designed to provide detailed insights into the anatomical and functional aspects of the pelvic area, helping healthcare professionals determine the extent of any identified anomalies. During the procedure, nonionic contrast material is introduced into the peritoneum, allowing for enhanced visualization of the pelvic structures through imaging techniques. The use of fluoroscopic guidance is essential for accurately administering the contrast material and obtaining high-quality radiographs. The procedure involves a series of radiographic images, including anteroposterior (AP) and lateral views, which are taken at various stages to capture the dynamics of the pelvic floor and vagina. This comprehensive approach enables the detection of conditions such as rectocele, enterocele, and rectal prolapse, providing valuable information for subsequent management and treatment planning.