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Thread: granulation tissue

  1. #1

    Default granulation tissue

    Boy doI need help. I need to find a CPT 4 code for the removal of granulation tissue of the cuff of the vagina. The tissue was removed with a clamp and the area was cauterized. Anyone with any ideas on this it would be greatly appreciated.

    Darlene Britton, CPC
    Montgomery, AL

  2. #2
    Join Date
    Apr 2007
    Location
    Kansas City, MO
    Posts
    736

    Default

    Unfortunately, you are going to be stuck using the unlisted code 58999. There is no CPT code for this procedure because it is granulation tissue. As a comparison code for setting the fee, you could compare it to code 57135.

    It will be interesting to see how others have handled this situation.
    Angela Jordan, CPC
    AAPC of Kansas City, Region 5 - Southwest
    Medical Revenue $olutions
    Managing Consultant

    angela@medicalrevenuesolutions.com

  3. #3

    Default

    I am coding for an ASC and cannot use an unlisted. What is the next best thing?

  4. #4
    Join Date
    Apr 2007
    Location
    Kansas City, MO
    Posts
    736

    Default

    Well then, you say a clamp was used and then it was cauterized. So, it wasn't actually an excision, you might look at the destruction codes 57061 and 57065. Once again, this isn't exactly correct as these codes are for lesions, and you are removing granulation tissue but it is closer.
    Angela Jordan, CPC
    AAPC of Kansas City, Region 5 - Southwest
    Medical Revenue $olutions
    Managing Consultant

    angela@medicalrevenuesolutions.com

  5. #5

    Default

    Thanks Angela...I will try one of those.

  6. #6

    Default

    57061-57065 is the correct code to use. The 2009 Coding Companion by Ingenix lists diagnosis 701.5 as a valid ICD-9 with this procedure. The definition states the physician destroys abnormal tissue...hope this helps.

  7. #7

    Default Removal of vaginal lesions

    Doctor has been using code 57061 and 57065 for destruction of lesions. Also using code 57065 x13. Was told this was incorrect. My question to you is there any other codes out there for multiple destruction of vaginal lesions. If the doctor removes 13 lesions, he think he is supposed to get paid for them. Please help, i searched every where i can. Thanks

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