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Expression of Vulvar lesion / abscess

Paula Posted Wed 25th of March, 2015 12:11:02 PM

Good morning, we have a question on which CPT code to use when a patient comes into the office for a vulvar lesion and/or abscess that the physician manually expresses with her fingers. The physicians believe we should be coding 56501 destruction of a vulvar lesion, because it states destruction of a lesion by any means, however the code itself reads a colposcope is used and that the lesion is destroyed. My other co-worker thinks 10060 is more appropriate code since the physician is draining the abscess, but there is no incision with a surgical instrument. Is there a code specifically for this? would I use a 52 to show reduced services? or just bill the E&M?
Thanks.

SuperCoder Answered Thu 26th of March, 2015 04:33:26 AM

56501-Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery). Destruction is the process when ablation of lesion performed by any method. Here any method means- with curettement, electrosurgery, cryosurgery, laser and chemical treatments, some time required local anesthesia.
For the code 10060, incision required. In the given scenario, the physician manually expressed the lesion with the fingers, so 56501 and 10060 cannot be billed. Only E&M service has to be coded.

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