wide local excision coding

kathyvl74

Networker
Messages
45
Location
Elgin IL
Best answers
0
Hi. doctor did a shave biopsy on a vulvar lesion that came back VIN 3. then the provider did a wide local excision, path results benign skin and mucosa.
How would you code the wide local excision?
 

CodingKing

True Blue
Messages
3,955
Best answers
1
Its a vulvectomy, likely 56620

https://www.supercoder.com/coding-newsletters/my-ob-gyn-coding-alert/you-be-the-coder-wide-excision-of-vulva-article


Per CPT book guidelines

[FONT=&quot]A partial procedure is the removal of less than 80% of the vulvar area.
[/FONT]
[FONT=&quot]A simple procedure is the removal of skin and superficial subcutaneous tissues.[/FONT]
 

kathyvl74

Networker
Messages
45
Location
Elgin IL
Best answers
0
I agree with you, but the provider insists it's not a vulvectomy. I think it's just the word honestly, and I have a coding companion that states it's for a wide incision of the diseased area. Thanks
 
Top