What is the most common complication of a radical vulvectomy?
Wound disruption with or without infection was the most frequent early postoperative complication that occurred in 59% of the cases. Surgical intervention for secondary haemorrhage was necessary in 3 patients. Lymphatic fistula and lower extremity oedema developed in 3 women.
What is the CPT code for partial simple vulvectomy?
56620
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).
What is a vulvectomy simple partial?
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.
What is the CPT code 56620?
CPT® 56620, Under Excision Procedures on the Vulva, Perineum and Introitus. The Current Procedural Terminology (CPT®) code 56620 as maintained by American Medical Association, is a medical procedural code under the range – Excision Procedures on the Vulva, Perineum and Introitus.
What is a vulvectomy procedure?
A vulvectomy is removal of part or all of the vulva. The vulva is the outer portion of a woman’s genitals and includes: The labia minora and majora (small and large lips).
What is the CPT code for radical partial vulvectomy?
56631
2018 Labiaplasty CPT Code
| Code | Status | Description |
|---|---|---|
| 56625 | A | Vulvectomy simple; complete |
| 56630 | A | Vulvectomy, radical, partial; |
| 56631 | A | Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy |
| 56632 | A | Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy |
What is radical vulvectomy?
Listen to pronunciation. (RA-dih-kul vul-VEK-toh-mee) Surgery to remove the entire vulva (the external female genital organs, including the clitoris, vaginal lips, and the opening to the vagina) and nearby lymph nodes.
Why would you need a vulvectomy?
Vulvar surgery can be done to treat vulvar cancer or to remove tissue that may become vulvar cancer. A surgery to remove all or part of your vulva is called a vulvectomy.
Who performs a vulvectomy?
Some procedures will require a skin graft, which can be done by a gynecologic oncologist or plastic surgeon. A skin graft is the removal of skin from one part of the body to close a wound.
What is a Vulvoplasty?
Vulvoplasty is a gender-affirming, lower body surgery that creates the vulva (including mons, labia, clitoris, and urethral opening) and removal of penis, scrotum, and testes.
What is the CPT code for a partial vulvectomy?
CPT®: In the CPT® Index look for Vulvectomy/Partial referring you to 56620, 56630-56632. Code 56620 is reported because skin and superficial subcutaneous tissue were removed and just the area of the lesion which is partial or less than 80% of the vulva were removed.
Is there a CPT code for vulvectomy 53210?
Code 53210 is not bundled into the vulvectomy codes (CPT 56620-56625 for simple vulvectomy, 56630-56637 for radical vulvectomy). If partial vaginectomy was performed add the appropriate code from 57106-57111. How do you code for a skinning vulvectomy? Is it better to report code 56620 or a code from the integumentary section of CPT?
What is the CPT code for lymphadenectomy with radical 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). How do you code for a partial urethrectomy done en bloc with a radical vulvectomy for vulvar cancer?
What are the different types of vulvectomy?
The variations of simple (or superficial) vulvectomy can be classified as partial or total, depending on the extent of tissue excised. The purpose of partial simple vulvectomy is to remove the skin and subcutaneous tissues of the vulva affected by disease.
