I need help with coding this op note. Pt had by palpatation, a rt vulvar cyst. It was removed with elliptical incision made around the 2 X 1 cm cyst and then removed. It was then rendered hemostatic with bovie and closed with 3-0 vicryl and cautery. Attention was then turned to the vagina and a vaginal sidewall cyst on the left was removed. Should this be coded as 57135 and 11422 with a 59 modifier? This is a Medicare pt. Any help would be appreciated!!!!