Codes 56620 and 56625 are specifically meant for vulvar procedures and should be used instead of integumentary codes. The 80% rule applies. If you remove >80% of the total vulva, it is considered “Vulvectomy, simple complete” (56625).
PROCEDURE: Partial vulvectomy and vulvar biopsies. ANESTHESIA: General endotracheal anesthesia. PROCEDURE: The patient was prepped and draped sterilely in the lithotomy position. The lesions were at the base of the labia majora bilaterally, extending onto the perineal body.
D07.1 is the ICD 10 code for vulvar carcinoma in situ. The code does not specify the histologic type (squamous vs adeno). This is the most appropriate code for vulvar Paget’s disease i.e., adenocarcinoma in situ of the vulva.
Postoperative Diagnosis: Vulvar dysplasia. PROCEDURE: Partial vulvectomy and vulvar biopsies. ANESTHESIA: General endotracheal anesthesia. PROCEDURE: The patient was prepped and draped sterilely in the lithotomy position. The lesions were at the base of the labia majora bilaterally, extending onto the perineal body.
CPT® 56631 in section: Vulvectomy, radical, partial.
N90. 89 - Other specified noninflammatory disorders of vulva and perineum | ICD-10-CM.
Other specified hypertrophy of vulva N90. 69 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM N90. 69 became effective on October 1, 2021.
In a simple vulvectomy, the entire vulva is removed (the inner and outer labia; sometimes the clitoris, too) as well as tissue just under the skin. A partial or modified radical vulvectomy removes part of the vulva, including the deep tissue.
56605The CPT code (vulvar biopsy [56605]) for the procedure should be linked only to those ICD-10 codes that relate to the procedure itself.
If you remove >80% of the total vulva, it is considered “Vulvectomy, simple complete” (56625). If <80% is removed, it is considered “Vulvectomy, simple partial (56620).
The new biopsy codes are reported based on method of removal including: Tangential biopsy (11102 and 11103) Punch biopsy (11104 and 11105) Incisional biopsy (11106 and 11107.
CPT® 56605, Under Excision Procedures on the Vulva, Perineum and Introitus. The Current Procedural Terminology (CPT®) code 56605 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Vulva, Perineum and Introitus.
Other specified noninflammatory disorders of vulva and perineumICD-10 code N90. 89 for Other specified noninflammatory disorders of vulva and perineum is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .
Surgery to remove the front area of the vulva is called an anterior vulvectomy. This operation sometimes involves removing part of the clitoris or the end of the tube that drains urine from the bladder (the urethra).
Skinning or simple vulvectomy may be performed on an outpatient basis if the patient is an appropriate candidate. Full and radical vulvectomy patients can typically be admitted to the floor, if the patient does not have confounding comorbidities or extensive blood loss during the surgery.
Vulvectomy is a surgery to remove some or all of your outer genitals. The surgery is done to remove diseased areas such as cancer, precancer, or lichen sclerosus. The vulva area has several parts. These include the inner and outer labia, and the clitoris.
Most women recover and are back to most activities in 2-3 weeks. You may need a family member or a friend to help with your day to day activities for a few days after surgery.
Risks and side effects of vulvectomies Following surgery, the site may be swollen, bruised and painful. Depending on the extent of tissue removal, the vulva may be noticeably different in appearance.
The surgeon will bring together edges of the skin and close them with stitches (sutures) or glue. Many times, small patches of healthy vulva skin are left and can create new tissue. In some cases, a skin graft is needed. This means a piece of healthy skin is taken from another part of your body.
In general, it is better to be more specific for coding purposes. Codes 56620 and 56625 are specifically meant for vulvar procedures and should be used instead of integumentary codes. The 80% rule applies. If you remove >80% of the total vulva, it is considered “Vulvectomy, simple complete” (56625). If <80% is removed, it is considered “Vulvectomy, ...
If lymphadenectomy is required, then you can still use the mapping code (38900-50) but you should use the code that bundles radical vulvectomy with unilateral or bilateral lymphadenectomy (see codes 56631 – 56637).
38900 is the CPT code for “intraoperative identification (e.g., mapping) of sentinel node (s) includes injection of non-radioactive dye, when performed. This means it can be billed twice using the -50 modifier if both right and left groin sentinel nodes are mapped. The code is not solely for the intratumoral injection, but for the mapping as well.