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Wiki Excision of vaginal lesion CPT code

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KaylaRieken

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I code for Urology and could use some help.

Before my phsycian placed an Altis sling for urinary stress incontinence, he noticed a small lesion in the vagina. He did excise this as it looked pedunculated. The path report came back as benign vaginal mucosa. Would I code this as 57100 or 57061? Or am i not even close?
 
KaylaRieken said:
I code for Urology and could use some help.

Before my phsycian placed an Altis sling for urinary stress incontinence, he noticed a small lesion in the vagina. He did excise this as it looked pedunculated. The path report came back as benign vaginal mucosa. Would I code this as 57100 or 57061? Or am i not even close?
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57061 is for destruction which you have not described. If you must code go with 57100 but realize that it is a CPT "separate procedure" which may be bundled and in addition the lesion was an incidental finding and normal so that alone may get you denial.
 
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