To me, 57061 is the best option and what I would code.
I have seen cases where excision of vaginal granulation tissue is coded 11420-11426. In this case, since it was removed with hemostat and not truly excised and no closure, I would not code that here. I have also seen recommendation to use unlisted 58999 for excision of vaginal granulation tissue. I avoid unlisted if there is another reasonable option I can justify. On the accounts receivable end, unlisted codes are often time consuming and require a lot of additional work to get payment.
57061 The provider places the patient in the dorsal lithotomy position. The provider applies a local anesthetic to the vaginal mucosa. Once the provider identifies the location of the lesion, he destroys it by using laser surgery, electrosurgery, cryosurgery, or chemosurgery. For laser surgery, he vaporizes the lesion tissue using a high beam of light to kill the lesion or lesions. For electrosurgery, the provider uses a monopolar or bipolar instrument to destroy the lesion or lesions. In cryosurgery, the provider uses an instrument called a cryoprobe to apply liquid nitrogen to the lesion or lesions with repetitive freeze and thaw cycles performed. For chemosurgery, the provider applies a chemical to the lesion or lesions and then removes the destroyed tissue. The provider may also use monopolar surgery, where the current passes through the patient to complete the current cycle, or bipolar surgery, where the current only passes through the tissue between the two electrodes of the instrument.
17250 does not necessarily seem incorrect, but 57061 is more specific.
Based on the info provided, an E/M is definitely not appropriate. If there is further documentation not provided here, it is possible an E/M is also appropriate.