I am stuck on this one. First vaginal approach. The physician is unsure if the area is a fistula- like tract in the area of the anterior portion of the vaginal just inside the introitus. This area appeared to have some erythema that could have been consistent with granulation tissue. That area of the vaginal vault was excised using an elliptical incision just inside the introitus ad entering into the vaginal vault approximately 2cm. This area was excised using metzenbaum scissors incorporating the area of suspected fistulous tract or granulation tissue. I have looked at 57106 for Vaginectomy, partial, but think it may be over coding when I read the full description. I have also looked at 57135, but is not a cyst or tumor. Any help is appreciated. I may be just overworking it. Thanks in advanced.