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The Oval pessary is commonly used for a mild first-degree uterine prolapse or a cystocele. The oval shape inhibits rotation of the pessary in women with a history of vaginal surgery and it is available with or without a supporting membrane. HCPCS Reimbursement Code for Pessary - A4562 Code for the Office Visit - 99214 CPT Procedure Code for Fitting & Insertion - 57160