Ob-Gyn Coding Alert

Question: I've got the following op note sitting on my desk. My ob-gyn writes: "The patient was taken to the OR where a surgical pause was performed. She was then placed under spinal anesthesia without difficulty. She was prepped and draped in the dorsal lithotomy position. The superior vaginal cuff cyst was excised using a combination of a scalpel and Metzenbaum scissors. The posterior vaginal cuff lesion was taken off similarly. Three biopsies, one at 7 o'clock on the vaginal cuff and one on each lateral side wall approximately one third of the way down, was taken with the Tischler forcep. Hemostasis was achieved with electrocautery." Do you have any advice as to how I should code this? Hawaii Subscriber Answer: First, isolate your code choices. You could use 57100 (Biopsy of vaginal mucosa; simple [separate procedure]) as the op note specifically mentions biopsy of sites that are in a [...]