CPT Knowledgebase - Mar 27, 2023

Can you provide an explanation of when codes from the Vulva, Perineum, and Introitus section vs the Integumentary section should be used when it comes to coding for biopsies and excisions of the Vulva, Perineum, and Introitus? The definitions at the beginning of the Vulva, Perineum, and Introitus section include "A simple procedure is the removal of skin and superficial subcutaneous tissues." but there are instructional notes throughout the Vulva, Perineum, and Introitus section to use integumentary codes. For example, instructional note after CPT's 56605-56606 "For excision of local lesion, see 11420-11426, 11620-11626". The descriptions of CPT's 56605-56606 include the term "lesion". It is not clear when a code from the Vulva, Perineum, and Introitus section vs the Integumentary section should be used.

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