2025 CPT code 57065
(Active) Effective Date: N/A Revision Date: N/A Surgery - Destruction Procedures on the Vagina Surgery Feed
Destruction of extensive vaginal lesions using various methods (laser, electrosurgery, cryosurgery, chemosurgery).
Modifiers may be applicable depending on the specific circumstances of the procedure (e.g., 51 for multiple procedures, 59 for distinct procedural service). Check payer guidelines for appropriate modifier usage.
Medical necessity for this procedure is established when the lesions are symptomatic (e.g., bleeding, pain, or discharge), precancerous, or significantly impacting the patient's quality of life.Documentation should justify the need for the procedure based on these criteria.
The physician's responsibilities include patient positioning (dorsal lithotomy), administering local anesthesia, identifying lesions, selecting and performing the appropriate destruction method (laser, electrosurgery, cryosurgery, or chemosurgery), and ensuring proper post-operative care.Documentation should clearly specify the technique used.
In simple words: This code covers the removal of several large or complicated vaginal sores. The doctor uses a laser, electricity, freezing, or special chemicals to get rid of them.It's a more involved procedure because of the size and number of sores.
This CPT code, 57065, represents the destruction of multiple, large, or complex vaginal lesions.The procedure involves the use of laser surgery, electrosurgery, cryosurgery, or chemosurgery to eliminate the lesions.Laser surgery vaporizes tissue using a high-intensity light beam; electrosurgery employs a high-frequency electric current (monopolar or bipolar) to destroy the tissue; cryosurgery uses liquid nitrogen to freeze and thaw the lesions repeatedly; and chemosurgery involves applying a chemical agent followed by removal of the destroyed tissue. The extent of the procedure necessitates significant time and effort due to the size and complexity of the lesions.
Example 1: A 45-year-old female patient presents with multiple large condylomata acuminata (genital warts) in the vagina, requiring extensive destruction using laser surgery., A 30-year-old female patient with extensive vaginal intraepithelial neoplasia (VIN) undergoes destruction of multiple lesions using electrosurgery, followed by histopathological examination of excised tissue., A 50-year-old female presents with several large, complex vaginal lesions caused by an unknown etiology.Cryosurgery is used to destroy the lesions, with follow-up examinations and possible biopsy.
* Comprehensive history and physical examination noting the size, number, and location of vaginal lesions.* Detailed operative report specifying the type of destruction method used (laser, electrosurgery, cryosurgery, or chemosurgery).* Documentation of lesion characteristics (size, shape, color, and location).* Images (if appropriate) of lesions before and after the procedure.* Pathology reports (if biopsy was performed).* Postoperative care instructions and follow-up plan.
** The definition of "extensive" is not precisely defined in the CPT manual.Clinical judgment based on the size, number, and complexity of the lesions should guide code selection.Always refer to the latest CPT guidelines and payer-specific rules for the most up-to-date information.
- Revenue Code: P1G (Major Procedure - Other)
- RVU: The RVUs for this code vary based on geographic location, facility type (inpatient/outpatient), and other factors.Consult your local Medicare fee schedule or payer-specific information for accurate RVU values and reimbursement rates.
- Global Days : The global period for this procedure is not explicitly defined in the CPT code description. The duration of the global period may depend on the complexity of the procedure, the patient's overall health, and other factors. It is recommended to check payer guidelines and local standards for details on the global period.
- Payment Status: Active
- Modifier TC rule: A Technical Component (TC) modifier is not directly applicable to this code.This code typically encompasses the entire procedure.
- Fee Schedule : Historical fee schedule data is not provided.Consult publicly available fee schedules or payer-specific information for this data.
- Specialties:Obstetrics and Gynecology
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)