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Wiki CPT code Lysis for Vaginal Atresia w xylocain

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I was wondering if the provider can charge for the manuel lysis of vaginal atresia. His note stated "2% xylocain Injected + finger used to dilate/ to cervix" This appears as all he did no cutting. The only code I can find is 56441 this seems to be "surgery" with a 10 day global. Any idea of how to charge this or would it fall under the E/M code?
Thanks
 
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