CPT^® 56633, Under Excision Procedures on the Vulva, Perineum and Introitus

The Current Procedural Terminology (CPT^®) code 56633 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Vulva, Perineum and Introitus.

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Summary

A radical vulvectomy represents a surgical procedure to remove all or part of the vulva for malignant disease of various stages. The surgery may or may not include removal of lymph nodes and the clitoris depending on the extent of the disease. Since it is radical surgery, tissue adjacent to the malignancy will be removed as well.

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Sentinel lymph node with Vulvectomy 56630(56633), 56631 (56634)

From [URL='https://www.sgo.org/resources/coding-qa-vulva/']SGO Coding Q&A for vulva[/URL]: [HEADING=3]How do you code for bilateral inguinal sentinel lymph node removal performed at the time of radica... [ Read More ]

Sentinel lymph node with Vulvectomy 56630(56633), 56631 (56634)

Hello OBGYN coders, professionals. :) I am new to this specialty and there is So Much to learn. I will greatly appreciate your answer to my question. Thank you! The question is do we code Sentinel lym... [ Read More ]

ICG (Indocyanine green)

No experience with ICG during cholecystectomy, only for sentinel lymph node identification during hysterectomy. If you are performing it for sentinel lymph node identification, 38900 describes exactly... [ Read More ]

Billing 38900 Intraoperative sentinel Node mapping for gyn onc

You can only bill 38900 with one of the base codes 19302, 19307, 38500, 38510, 38520, 38525, 38530, 38531, 38542, 38562, 38564, 38570, 38571, 38572, 38740, 38745, 38760, 38765, 38770, 38780, 56630, 56... [ Read More ]

Need help!! Coding CPT 38972

[b]2019 update[/b] Since I posted this answer in 2017 & I know people often reference previous posts, I thought it important to update my answer. 38900 add on code is now billable with 38570-38572 fo... [ Read More ]

Billing 38900 Intraoperative sentinel Node mapping for gyn onc

Late to answer, but I was updating a previous post from 2017 regarding this & saw your related question. In 2018, we used 38999 for the ICG sentinel lymph node mapping. I'm very pleased that as of 2... [ Read More ]

Vulvectomy vs debridement

The surgeon put, procedure Debridement of Fournier's gangrene. I know that normally that would send me to cpt code 11004. My op note is more detailed than just debridement which gets me to look at c... [ Read More ]

Use of 59 and 51 modifiers TOGETHER?

[QUOTE="kmonte, post: 166368, member: 56633"]Our provider did procedures 29881 and 29875 - 59 on a patient. Insurance denied stating 26875 was bundled into 29881. We disagree and are appealing. I ran ... [ Read More ]

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