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Excision or fulguration of Skene's glands, denoted by CPT® Code 53270, involves the surgical removal or destruction of these glands, which are also known as lesser vestibular glands, periurethral glands, or paraurethral glands. These glands are situated alongside the female urethra and can become enlarged due to conditions such as cysts or infections. The procedure aims to alleviate symptoms associated with these conditions by excising the affected gland tissue. The surgical approach may include techniques such as marsupialization or electrocoagulation, which are employed based on the specific clinical scenario. During the procedure, the surgeon locates the glands through visualization and/or palpation, followed by making an incision with straight Mayo scissors. This incision allows access to the gland, which is then carefully dissected from the surrounding tissue. In cases where tissue samples are required for further examination, they are prepared for pathology as a separately reportable procedure. The surgical site is subsequently closed in layers, ensuring that both the urethral lining and the epithelial lining of the gland are sutured appropriately. It is important to note that the use of electrocautery or laser techniques for fulguration involves the activation of these devices to destroy abnormal tissue effectively.
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Excision or fulguration of Skene's glands is indicated for the following conditions:
The procedure for excision or fulguration of Skene's glands involves several key steps:
Post-procedure care for excision or fulguration of Skene's glands typically includes monitoring for any signs of complications, such as infection or excessive bleeding. Patients may be advised on pain management and wound care to promote healing. Follow-up appointments may be scheduled to assess recovery and to review any pathology results if tissue samples were taken during the procedure. It is essential for patients to report any unusual symptoms or concerns to their healthcare provider during the recovery period.
| Short Descr | REMOVAL OF URETHRA GLAND | Medium Descr | EXCISION OR FULGURATION SKENES GLANDS | Long Descr | Excision or fulguration; Skene's glands | Status Code | Active Code | Global Days | 010 - Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6C - Minor procedures - other (Medicare fee schedule) | MUE | 1 | CCS Clinical Classification | 109 - Procedures on the urethra |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | GC | This service has been performed in part by a resident under the direction of a teaching physician | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| Pre-1990 | Added | Code added. |
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