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The procedure described by CPT® Code 56700 involves a partial hymenectomy or a revision of the hymenal ring. This surgical intervention is primarily aimed at enlarging the hymenal orifice, which may be necessary for various medical or personal reasons. During the procedure, the physician makes a circular incision that adheres to the natural contour of the hymenal ring, also known as the annulus. This incision allows for the excision of excess hymenal tissue, which may be contributing to a constricted hymenal opening. Following the excision, the hymenal ring is meticulously repaired by suturing it back to the vaginal epithelium, ensuring that the anatomical integrity is maintained while achieving the desired enlargement of the hymenal orifice. This procedure is typically performed in a clinical setting and requires careful consideration of the patient's individual circumstances and needs.
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The procedure described by CPT® Code 56700 is indicated for specific conditions related to the hymen. These may include:
The procedure for CPT® Code 56700 involves several key steps that ensure the effective execution of a partial hymenectomy or revision of the hymenal ring. The first step is the administration of appropriate anesthesia to ensure patient comfort throughout the procedure. Once the patient is adequately anesthetized, the physician proceeds to make a circular incision that follows the natural line of the hymenal ring, known as the annulus. This incision is critical as it allows for the precise excision of excess hymenal tissue that may be contributing to a constricted hymenal opening. After the excess tissue is removed, the next step involves carefully suturing the hymenal ring back to the vaginal epithelium. This suturing process is essential for maintaining the structural integrity of the hymen while achieving the desired enlargement of the hymenal orifice. The procedure is typically performed in a sterile environment, and the physician takes great care to minimize any potential complications during the surgical process.
After the completion of the procedure, patients are usually monitored for a short period to ensure there are no immediate complications. Post-procedure care may include instructions on activity restrictions, such as avoiding sexual intercourse and strenuous physical activities for a specified duration to allow for proper healing. Patients may also be advised on hygiene practices to maintain the surgical site and prevent infection. Follow-up appointments may be scheduled to assess healing and address any concerns the patient may have. It is important for patients to adhere to the post-operative care instructions provided by their healthcare provider to ensure optimal recovery.
| Short Descr | PRTL HYMNCTMY/REVJ HYMNL RNG | Medium Descr | PARTIAL HYMENECTOMY OR REVISION HYMENAL RING | Long Descr | Partial hymenectomy or revision of hymenal ring | 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) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | 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) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 132 - Other OR therapeutic procedures, female organs |
| 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). | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2025-01-01 | Changed | Short and Medium Descriptions changed. |
| Pre-1990 | Added | Code added. |
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