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2025 CPT code 57065

Destruction of extensive vaginal lesions using various methods (laser, electrosurgery, cryosurgery, chemosurgery).

Follow current CPT guidelines and coding conventions for reporting this procedure.Accurate documentation is crucial for appropriate reimbursement.

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.

IMPORTANT For simple vaginal lesion destruction, use CPT code 57061.If lesions are on the vulva, consider codes 56501 (simple) or 56515 (extensive).For other genital lesions or lesions in other areas, refer to other relevant CPT codes (e.g., codes 17000-17004 for premalignant lesions).

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.

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