Procedures performed: Manual separation of labial fusion with marsupialization of labial abscess, collection of cultures and vulvar biopsies. Prior to surgery I thought this would be a simple 56441 lysis of labial adhesions. Note sounds like she did I&D of the vulvar abscess and biopsy of the labial abscess cyst wall. Then marsupialization of the cyst to prevent recurrence. This is for a medicare patient.