CPT^® 56640, Under Excision Procedures on the Vulva, Perineum and Introitus

The Current Procedural Terminology (CPT^®) code 56640 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. This surgery includes removal of inguinofemoral, iliac, and pelvic lymph nodes. The provider may also remove 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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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 ]

Can we code lymph mapping with Radical trachelectomy +pelvic lymphadenectomy?

[QUOTE]Hello coding community. Could you please help me with a question: [B]can we code lymph node mapping 38900 with 57531? [/B]Thank you very much in advance! :)[/QUOTE] Coding tips for 38900 in Enc... [ 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 cpt code

See 1st page of 2016 or 2015 CPT on Female Genital System, lists of definitions that apply to vulvectomy codes 56620 -56640. The definitions describe codes 56620 - 56640: simple superficial SQ t... [ Read More ]

new coder needs help with CPT - Any help

Hi May I asked of the DX? this might help guide your CPT choices, each of the 56620-56640 codes include removal of premalignant or malignant lesions. 56620- is one side and may include removal of ... [ Read More ]

new coder needs help with CPT - Any help

Well, I did not know it. Is it because I used 2009 manual or not aware of the edits or so? I ask honestly. But Vulvectomy code 56620 is for any one side only (and partial). Then how do you assign... [ Read More ]

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