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Posted By Lynn Radecky on 03-22-2021, 07:57:53 in Ob-Gyn
patient had complaint of bleeding for 1 month the patient is post hysterectomy the physician noted that the patient had right cuff granulation tissue flat L 1.5cm W 1 Cm. The physician used silver nitrate on the area turning the entire are grey.
What Cpt code do I use? The physician told me to use 56501 but I am thinking 57061.... Thank you!
Comments (1)
Posted By Melanie Witt on 03-23-2021, 17:15:32
You are correct, 56501 is not the right code as the vaginal cuff is not the vulva. 57061 is closer but this is not a lesion and the application of sliver nitrate does not rise to the difficulty of chemical destruction intended by this code. An article of this topic appeared in a 2018 Coding Alert and the recommendations is: If you are using silver nitrate sticks to destroy granulation tissue in the vaginal canal, you should report 58999 (Unlisted procedure, female genital system [nonobstetrical]) and compare the work to 17250 (Chemical cauterization of granulation tissue [proud flesh, sinus or fistula]).
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