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Official Description

Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 57061 involves the destruction of vaginal lesion(s) through various techniques, including laser surgery, electrosurgery, cryosurgery, or chemosurgery. Vaginal lesions refer to abnormal growths or changes in the vaginal tissue that may require intervention. The choice of destruction method is determined by the specific characteristics of the lesion and the physician's preference, ensuring that the most effective approach is utilized for each individual case. Prior to the procedure, a local anesthetic may be administered to minimize discomfort for the patient. This procedure can also be performed in conjunction with scraping, known as curettement, to enhance the removal of the lesion. It is important to note that CPT® Code 57061 is specifically designated for simple destruction of lesions, while a different code, CPT® Code 57065, is used for cases involving extensive destruction. This distinction is crucial for accurate medical coding and billing purposes.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure coded as CPT® 57061 is indicated for the treatment of various vaginal lesions that may require destruction. These lesions can include, but are not limited to, abnormal growths or changes in the vaginal tissue that could potentially lead to discomfort or other complications. The specific indications for this procedure may include:

  • Vaginal Lesions Abnormal growths or changes in the vaginal tissue that necessitate removal.
  • Symptoms of Discomfort Patients experiencing pain or discomfort due to the presence of vaginal lesions.
  • Potential for Malignancy Lesions that may have the potential to develop into cancerous conditions.

2. Procedure

The procedure for the destruction of vaginal lesions using CPT® Code 57061 involves several key steps, which are detailed as follows:

  • Preparation The patient is positioned comfortably, and a local anesthetic may be administered to minimize discomfort during the procedure. This step is crucial to ensure that the patient remains comfortable throughout the process.
  • Selection of Destruction Technique The physician selects the appropriate method for lesion destruction based on the type of lesion and personal preference. Options include laser surgery, electrosurgery, cryosurgery, or chemosurgery, each of which has its own specific applications and benefits.
  • Application of Destruction Method The chosen technique is applied to the lesion(s). For instance, if laser surgery is selected, the physician will use focused laser energy to precisely target and destroy the abnormal tissue. In the case of electrosurgery, electrical currents may be utilized to cut or coagulate the tissue. Cryosurgery involves freezing the lesion, while chemosurgery uses chemical agents to achieve destruction.
  • Curettement (if applicable) In some cases, the physician may perform curettement, which involves scraping the lesion to ensure complete removal. This step may enhance the effectiveness of the destruction method used.
  • Post-Procedure Assessment After the destruction of the lesions, the physician assesses the area to ensure that the procedure has been completed successfully and that there are no immediate complications.

3. Post-Procedure

Following the procedure coded as CPT® 57061, patients may experience some discomfort or mild pain in the treated area, which can typically be managed with over-the-counter pain relief medications. It is important for patients to follow any post-procedure care instructions provided by their physician, which may include avoiding certain activities, maintaining proper hygiene, and monitoring for any signs of infection or complications. The expected recovery time can vary depending on the extent of the lesions treated and the specific destruction method used. Patients should schedule a follow-up appointment to ensure proper healing and to address any concerns that may arise during the recovery process.

Short Descr DESTRUCTION VAG LESIONS SMPL
Medium Descr DESTRUCTION VAGINAL LESIONS SIMPLE
Long Descr Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)
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 Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs.
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P6C - Minor procedures - other (Medicare fee schedule)
MUE 1
CCS Clinical Classification 131 - Other non-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).
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.)
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.
58 Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78.
78 Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.)
80 Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s).
AS Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery
CR Catastrophe/disaster related
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
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 Description changed.
2011-01-01 Changed Short description changed.
2002-01-01 Changed Code description changed.
Pre-1990 Added Code added.
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