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Code for Labia reduction?

  1. Default Code for Labia reduction?
    Medical Coding Books
    Our physician is performing a labia reduction on a patient, and I am not sure on the code. In CPT, the code 56800 appears to be the closest code to what he will be doing, however its truly not a plastic repair. Has anybody ever coded for this procedure before? Help!!!

  2. #2
    Idaho Falls, Idaho
    What is the reason for the reduction? Is he removing just a portion?
    Tesja Erickson, CPC, CPMA COBGC, CEMC
    The Coding Surgeon
    Medical Documentation & Coding Consultant
    2012 AAPC Idaho Falls Chapter President
    2011 AAPC Idaho Falls Chapter President-Elect

  3. Default
    Yes- the patient is complaining that it is 'too big' Not sure if insurance will even cover this for patient as it may be considered cosmetic.

  4. #4
    I believe this is called a labiaplasty and it would depend if it is a partial or complete. The code that ACOG recommends for labiaplasty is 56620 (vulvectomy,simple;partial or Complete labiaplasty is 56625. ) The dx code series is normally in the 624 (eg, ICD-9cm code 624.3, hypertrophy of labia).

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