Wiki labioplasty

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This is from an April 2007 post to AAPC forum. I think it still applies here.

ACOG Recommendation for Labioplasty

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Recently, we queried ACOG to see what CPT code they recommend for labioplasty and here is their response:

This is in response to your email of October 27, 2008. You asked for the most appropriate code to report a labioplasty and whether it is unilateral or bilateral. You also asked what diagnosis are payable for this procedure.

Report CPT-4 code 56620 (Vulvectomy, simple; partial) for the procedure. The description of this procedure is as follows: The physician removes part of the vulva. A simple partial vulvectomy may include removal of part or all of the labia majora and the labia minora on one side and the clitoris. The underlying subcutaneous fatty tissue is removed along with the large portion of excised skin.

For example: A patient presents with enlarged bilateral labia majora, 8-10 inches in length, that interferes with daily activities/coitus/self esteem. The physician removes part of the labia.

This code is neither unilateral or bilateral. It is either partial or complete. A complete labiaplasty would be reported with CPT-4 code 56625 (Vulvectomy simple; complete).

Report an ICD-9 code from the 624 series for the abnormality. In the case that you described, you may want to look at reporting ICD-9-CM code 624.4 (Old laceration or scarring of vulva) for example.
 
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