Wiki Vulvar Skin Tag

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Why would you use a Bx code for an excision? If it clearly states "excision of Skin tag" I would think we would use 11200. My thought on 56605 was for a biopsy of a lesion of a bit more serious nature than a simple skin tag. Maybe I am misunderstanding something. I am always open to being further educated if someone can explain more.
 
Removal of a skin tag and vulvar biopsy are two separate things. If it is truly a skin tag, then 11200; if it is a more extensive excision, such as excision of a benign lesion, then I go with 11420 series. If the biopsy code is used, then it needs to be documented as a biopsy and the specimen should be sent to Pathology. I was always taught that a skin tag is a skin tag is a skin tag, and not anything more, so based on your question my answer is 11200.
 
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