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Tx of barholins gland cyst ???

  1. Default Tx of barholins gland cyst ???
    Medical Coding Books
    I need some help coding this one please. The doctor ablated the cyst lining with a co2 laser prior to the marsupialization of the Bartholins gland cyst how do I code this? I have the 56440 for the marsupilization but am stumped on the ablation. Any suggestions?

  2. #2
    I think the CO treatment may get denied if you tried to bill for it....
    I googled and 17000 was a recommendation. The CPT book states though destruction:
    So, I'm not sure.
    The CO2 treatment did not destroy the cyst, so I would just code the other code 56440.
    The Oracle

  3. Default
    As for my openion, the bartholian cyst treatment goes into the Specialty code - female genital system codes either 56405 or 56440.
    In this case the documentation Marsupialization code includes incision ,drainage ,removal of tissues(ablation) and marsupialization.
    So I would suggest for 56440. If the procedure required more work and time , modifier-22 could be appended to

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