tci Outpatient Facility Coding Alert - 2019 Issue 2

Reader Question: Make These Considerations When Choosing Vulvar Excision Code

Question: The doctor removed a 10 cm vulvar mass from a patient. The mass was external and pathology determined it was an abnormally large skin tag. A substantial amount of work was performed to remove this skin tag — much more than what is typically included in a skin tag excision code. Is there a different code I can use to report this? Michigan Subscriber Answer: A look at the operative report is necessary to definitively determine the correct code, but based on the size of the skin tag and the complexity of the procedure, it is not advised...

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