Coding for TCA destruction of Vulva Lesions

peabodym

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What is the correct coding for destruction of Vulvar lesions? Do you code CPT 56501 or code an applicable E & M?
 
I would use 56501, unless the provider indicated in their documentation that it was extensive, in which case I would use 56515. I wouldn't necessarily bill an E/M unless the documentation that made it separately identifiable from the procedure.
 
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