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2025 CPT code 53060

Drainage of Skene's gland abscess or cyst.

Refer to CPT guidelines for specific instructions on coding procedures related to the urinary system. The documentation should support the medical necessity of the drainage and any associated procedures.

Modifiers may be applicable to this code.For instance, modifier 52 may be used for reduced services, or modifier 22 if the service was substantially more complex than usual.

Medical necessity for 53060 must be supported by documentation of the patient's symptoms, such as pain, dysuria, recurrent UTIs, or functional impairment due to the abscess or cyst.The documentation should clearly indicate that the drainage procedure is necessary to alleviate these symptoms.

The physician is responsible for administering local anesthesia, sterilizing the surgical area, performing the incision and drainage, and closing the incision.

IMPORTANT For excision of Skene's glands, see code 53270.

In simple words: This procedure drains an abscess or cyst located near the opening of the urethra in women. The area is numbed, and a small cut is made to drain the fluid.Sometimes, a small tube is placed in the urethra to help locate the cyst. The opening is then stitched closed.

Drainage of a Skene's gland abscess or cyst involves making an incision to drain the infected or cystic fluid. This procedure typically follows the administration of local anesthesia and sterilization of the area.A urethroscope may be used to confirm the connection of the cyst to the urethra. A Foley catheter can be placed in the urethra to aid in identifying the cyst's location. The incision is then closed with absorbable sutures.

Example 1: A 30-year-old female presents with a painful, swollen lump near the urethral opening, diagnosed as a Skene's gland abscess.Code 53060 is used for the incision and drainage procedure., A 45-year-old female experiences recurrent urinary tract infections and dysuria.A Skene's gland cyst is identified as the source, and 53060 is reported for the drainage procedure., A 25-year-old female has a non-painful lump near the urethra, confirmed as a Skene's gland cyst causing discomfort during intercourse.Code 53060 is used when the cyst is drained.

Documentation should include the diagnosis (abscess or cyst), size and location of the lesion, method of drainage, use of anesthesia, and any complications. Preoperative and postoperative diagnoses should also be noted.

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