Wiki wide local excision coding

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kathyvl74

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Hi. doctor did a shave biopsy on a vulvar lesion that came back VIN 3. then the provider did a wide local excision, path results benign skin and mucosa.
How would you code the wide local excision?
 
Its a vulvectomy, likely 56620

https://www.supercoder.com/coding-newsletters/my-ob-gyn-coding-alert/you-be-the-coder-wide-excision-of-vulva-article


Per CPT book guidelines

[FONT=&quot]A partial procedure is the removal of less than 80% of the vulvar area.
[/FONT][FONT=&quot]A simple procedure is the removal of skin and superficial subcutaneous tissues.[/FONT]
 
I agree with you, but the provider insists it's not a vulvectomy. I think it's just the word honestly, and I have a coding companion that states it's for a wide incision of the diseased area. Thanks
 
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