Wiki Removal of a vaginal cyst.

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areeder

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I am at a loss on the cpt code that I should use for this procedure. The provider used a ring forcep, grasped the vaginal cyst, and removed it using a clockwise twisting motion. There was no excision, no sutures. Code 57135 would work great, had the provider excised any tissue, but he didn't.
I would appreciate any help on this one. Thanks in advance!
 
Vaginal cysts are typically benign lumps & bumps. Based on what the description of the procedure, it resembles more of a destruction of a benign lesion by the "ligature strangulation" method. See Carol Buck, 2015 Step-by-Step Medical coding, p.533. I would also clarify the procedure with the provider because "ligature strangulation" code 11200-11201 refers to skin tags in 2015 CPT.
 
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