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  #1  
Old 08-23-2011, 03:01 PM
jmelizon jmelizon is offline
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Default excision of vulvar mass

can someone please help me with the cpt code for excision of vulva mass???
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Old 08-23-2011, 05:05 PM
ngaines1976 ngaines1976 is offline
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what size was the mass after excision? This will make a difference on which code to choose.
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Old 08-24-2011, 10:04 AM
jmelizon jmelizon is offline
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this is what i thought too, i was gonna use 11420 codes but the surgery scheduler thinks we need to use 56620?
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Old 08-24-2011, 07:38 PM
ngaines1976 ngaines1976 is offline
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was the specimen sent for a biopsy? I'm geared more towards the 11420 also. What was the post-op dx code?
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Old 08-25-2011, 09:29 AM
Jamie Dezenzo Jamie Dezenzo is offline
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I would confirm path and usually towards the 1142X.

56620 per EnCoder Pro

"The physician removes part or all of the vulva to treat premalignant or malignant lesions. A simple complete vulvectomy includes removal of all of the labia majora, labia minora, and clitoris, while a simple, partial vulvectomy may include removal of part or all of the labia majora and labia minora on one side and the clitoris. The physician examines the lower genital tract and the perianal skin through a colposcope. In 56620, a wide semi-elliptical incision that contains the diseased area is made."
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Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

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