bonnienorth55
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Hi all, I have been going in circles with this procedure and would appreciate any help/advice! Our provider performed a "right vulvar resection" for a non-healing ulcer of the vulva. The body of the report reads:
"The labia was marked with a pen so that the entire non-healing ulcer could be resected. A large elliptical incision involving the entire ulcer as well as lateral labial tissue was created with the scalpel. The skin was elevated and the fatty tissue wedged out so that the skin could be brought together without tension. Bleeding controlled....deep tissue was re-approximated with 3-0 vicryl sutures, one from the top and the other from the inferior of the incision."
I thought a code from the 1142_ section would be best but no measurements were listed in the report. CPT 56620 comes up quite a bit in researching this procedure but it wasn't a "precancerous" or "cancerous" lesion....I was thinking I would request excised measurements from the provider in order to use a code from the 1142_ section but wanted to see if anyone else has advice/opinions. Thank you in advance
"The labia was marked with a pen so that the entire non-healing ulcer could be resected. A large elliptical incision involving the entire ulcer as well as lateral labial tissue was created with the scalpel. The skin was elevated and the fatty tissue wedged out so that the skin could be brought together without tension. Bleeding controlled....deep tissue was re-approximated with 3-0 vicryl sutures, one from the top and the other from the inferior of the incision."
I thought a code from the 1142_ section would be best but no measurements were listed in the report. CPT 56620 comes up quite a bit in researching this procedure but it wasn't a "precancerous" or "cancerous" lesion....I was thinking I would request excised measurements from the provider in order to use a code from the 1142_ section but wanted to see if anyone else has advice/opinions. Thank you in advance