2025 CPT code 53270
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Excision or fulguration of Skene's glands.
Modifiers may be applicable depending on the circumstances of the procedure. Consult the CPT manual and payer-specific guidelines for appropriate modifier usage.Modifiers such as 51 (multiple procedures), 59 (distinct procedural service), or 22 (increased procedural services) may be relevant.
Medical necessity for excision or fulguration of Skene's glands is established when conservative management (e.g., antibiotics for infection) has failed, or when symptoms are severe and significantly impact the patient's quality of life.The presence of a large cyst or abscess, recurrent infections, or significant pain warrants surgical intervention.
The physician is responsible for administering local anesthesia, sterilizing the vulva, exploring the cysts, identifying the connection to the urethra (if present), making the incision, dissecting the cyst and surrounding tissue, closing the defect, and achieving hemostasis.
In simple words: This surgery removes or destroys small glands near the opening of the urethra in women.The doctor numbs the area, makes a small cut to access the gland, removes the affected tissue, and then closes the area with stitches.
This procedure involves the surgical removal (excision) or destruction (fulguration) of the Skene's glands, also known as paraurethral or periurethral glands.These glands are located on the lower wall of the female urethra near the urethral opening. The procedure begins with local anesthesia and sterilization of the vulva. The physician then identifies and accesses the Skene's gland cyst or abscess, often using a urethroscope to visualize the urethra. A sharp incision is made to open the cyst. The cystic structure and surrounding tissue are carefully dissected, paying attention to the borders to minimize damage. A Foley catheter or guidewire may be used to aid in locating the cyst during the dissection.The defect is then closed using simple or layered sutures, and hemostasis (control of bleeding) is achieved.
Example 1: A 35-year-old female presents with a painful, swollen area near her urethral opening. Examination reveals a Skene's gland abscess.The physician performs an incision and drainage of the abscess, followed by excision of the affected gland tissue., A 40-year-old female experiences recurrent infections of her Skene's glands.The physician recommends surgical excision of both Skene's glands to prevent future infections. The procedure involves meticulous dissection to preserve surrounding tissues., A 28-year-old female complains of a persistent mass near her vaginal opening. Imaging reveals a Skene's gland cyst. The physician performs a surgical excision of the cyst.A Foley catheter is used intraoperatively to help locate and avoid injury to the urethra during the dissection.
* Thorough history and physical examination documenting the symptoms and location of the Skene's gland abnormality.* Preoperative and postoperative photographs of the affected area.* Operative report detailing the surgical technique, including the type of excision or fulguration performed.* Histopathological examination of the excised tissue (if applicable).* Postoperative instructions to the patient.
** Careful dissection is crucial during this procedure to avoid injury to the urethra and surrounding structures.The choice between excision and fulguration will depend on the size, nature, and location of the lesion.
- Revenue Code: P6C
- Payment Status: Active
- Specialties:Urogynecology, Urology, Gynecology
- Place of Service:Office, Ambulatory Surgical Center, Hospital Outpatient Department