SJH Procedures - Gynecology and Gynecology Oncology Services New Name Old Name CPT Code Service ABLATION, LESION, CERVIX AND VULVA, USING CO2 LASER LASER VAPORIZATION CERVIX/VULVA W CO2 LASER 56501 Destruction of lesion(s), vulva; simple (eg, laser surgery, Gynecology electrosurgery, cryosurgery, chemosurgery) 56515 Destruction of lesion(s), vulva; extensive (eg, laser surgery, Gynecology electrosurgery, cryosurgery, chemosurgery) 57513 Cautery of cervix; laser ablation Gynecology BIOPSY OR EXCISION, LESION, FACE AND NECK EXCISION/BIOPSY (MASS/LESION/LIPOMA/CYST) FACE/NECK General, Gynecology, Plastics, ENT, Maxillofacial BIOPSY OR EXCISION, LESION, FACE AND NECK, 2 OR MORE EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) MULTIPLE FACE/NECK 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); General, Gynecology, single lesion Aesthetics, Urology, Maxillofacial, ENT, Thoracic, Vascular, Cardiovascular, Plastics, Orthopedics 11103 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); General, Gynecology, each separate/additional lesion (list separately in addition to Aesthetics, Urology, code for primary procedure) Maxillofacial, ENT, Thoracic, Vascular, Cardiovascular, Plastics, Orthopedics 11104 Punch biopsy of skin (including simple closure, when General, Gynecology, performed); single lesion Aesthetics, Urology, Maxillofacial, ENT, Thoracic, Vascular, Cardiovascular, Plastics, Orthopedics 11105 Punch biopsy of skin (including simple closure, when General, Gynecology, performed); each separate/additional lesion (list separately in Aesthetics, Urology, addition to code for primary procedure) Maxillofacial, ENT, Thoracic, Vascular, Cardiovascular, Plastics, Orthopedics 11106 Incisional biopsy of skin (eg, wedge) (including simple closure, General, Gynecology, when performed); single lesion Aesthetics, Urology, Maxillofacial, ENT, Thoracic, Vascular, Cardiovascular, Plastics, Orthopedics 11107 Incisional biopsy of skin (eg, wedge) (including simple closure, General, Gynecology, when performed); each separate/additional lesion (list Aesthetics, Urology, separately in addition to code for primary procedure) Maxillofacial, ENT, Thoracic, Vascular, Cardiovascular, Plastics, Orthopedics BIOPSY OR EXCISION, LESION, LOWER BODY EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) LOWER BODY General, Gynecology, Orthopedics, Plastics, Urology, Neurosurgery, Aesthetics, Colorectal, Spine, Vascular, Podiatry BIOPSY OR EXCISION, LESION, LOWER BODY, 2 OR MORE EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) MULTIPLE LOWER BODY 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); General, Gynecology, single lesion Orthopedics, Plastics, Urology, Aesthetics, Vascular, Maxillofacial, Thoracic, Cardiovascular, ENT, Colorectal, Podiatry Page 1 of 20 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gynecology and Gynecology Oncology Services New Name Old Name CPT Code Service BIOPSY OR EXCISION, LESION, LOWER BODY, 2 OR MORE EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) MULTIPLE LOWER BODY 11103 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); General, Gynecology, each separate/additional lesion (list separately in addition to Orthopedics, Plastics, Urology, code for primary procedure) Aesthetics, Vascular, Maxillofacial, Thoracic, Cardiovascular, ENT, Colorectal, Podiatry 11104 Punch biopsy of skin (including simple closure, when General, Gynecology, performed); single lesion Orthopedics, Plastics, Urology, Aesthetics, Vascular, Maxillofacial, Thoracic, Cardiovascular, ENT, Colorectal, Podiatry 11105 Punch biopsy of skin (including simple closure, when General, Gynecology, performed); each separate/additional lesion (list separately in Orthopedics, Plastics, Urology, addition to code for primary procedure) Aesthetics, Vascular, Maxillofacial, Thoracic, Cardiovascular, ENT, Colorectal, Podiatry 11106 Incisional biopsy of skin (eg, wedge) (including simple closure, General, Gynecology, when performed); single lesion Orthopedics, Plastics, Urology, Aesthetics, Vascular, Maxillofacial, Thoracic, Cardiovascular, ENT, Colorectal, Podiatry 11107 Incisional biopsy of skin (eg, wedge) (including simple closure, General, Gynecology, when performed); each separate/additional lesion (list Orthopedics, Plastics, Urology, separately in addition to code for primary procedure) Aesthetics, Vascular, Maxillofacial, Thoracic, Cardiovascular, ENT, Colorectal, Podiatry BIOPSY OR EXCISION, LESION, UPPER BODY EXCISION/BIOPSY ( MASS/LESION/LIPOMA/CYST) UPPER BODY General, Gynecology, Orthopedics, Plastics, ENT BIOPSY OR EXCISION, LESION, UPPER BODY, 2 OR MORE EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) MULTIPLE UPPER BODY 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); General, Gynecology, single lesion Orthopedics, Plastics, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular 11103 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); General, Gynecology, each separate/additional lesion (list separately in addition to Orthopedics, Plastics, code for primary procedure) Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular 11104 Punch biopsy of skin (including simple closure, when General, Gynecology, performed); single lesion Orthopedics, Plastics, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular Page 2 of 20 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gynecology and Gynecology Oncology Services New Name Old Name CPT Code Service BIOPSY OR EXCISION, LESION, UPPER BODY, 2 OR MORE EXCISE/BIOPSY (MASS/LESION/LIPOMA/CYST) MULTIPLE UPPER BODY 11105 Punch biopsy of skin (including simple closure, when General, Gynecology, performed); each separate/additional lesion (list separately in Orthopedics, Plastics, addition to code for primary procedure) Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular 11106 Incisional biopsy of skin (eg, wedge) (including simple closure, General, Gynecology, when performed); single lesion Orthopedics, Plastics, Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular 11107 Incisional biopsy of skin (eg, wedge) (including simple closure, General, Gynecology, when performed); each separate/additional lesion (list Orthopedics, Plastics, separately in addition to code for primary procedure) Aesthetics, Cardiac/Thoracic Robotics, Cardiovascular, Colorectal, ENT, Maxillofacial, Spine, Vascular CERCLAGE, CERVIX CERCLAGE CERVICAL 57700 Cerclage of uterine cervix, nonobstetrical Gynecology 59320 Cerclage of cervix, during pregnancy; vaginal Gynecology *59325 Cerclage of cervix, during pregnancy; abdominal Gynecology CHROMOPERTUBATION, LAPAROSCOPIC CHROMOTUBATION LAPAROSCOPY 58350 Chromotubation of oviduct, including materials Gynecology CLOSURE, FISTULA, VESICOVAGINAL FISTULECTOMY VESICOVAGINAL *51900 Closure of vesicovaginal fistula, abdominal approach Gynecology 57320 Closure of vesicovaginal fistula; vaginal approach Gynecology 57330 Closure of vesicovaginal fistula; transvesical and vaginal Gynecology approach COLPOCLEISIS COLPOCLEISIS VAGINAL 57120 Colpocleisis (Le Fort type) Gynecology COLPOPEXY, ABDOMINAL APPROACH SUSPENSION VAGINAL VAULT (ABDOMINAL APPROACH) *57280 Colpopexy, abdominal approach Gynecology COLPORRHAPHY COLPORRHAPHY 57200 Colporrhaphy, suture of injury of vagina (nonobstetrical) Gynecology 57240 Anterior colporrhaphy, repair of cystocele with or without Gynecology repair of urethrocele, including cystourethroscopy, when performed 57250 Posterior colporrhaphy, repair of rectocele with or without Gynecology perineorrhaphy 57260 Combined anteroposterior colporrhaphy, including Gynecology cystourethroscopy, when performed; COLPORRHAPHY, ANTERIOR, USING MESH IF INDICATED REPAIR ANTERIOR W/WO MESH 57240 Anterior colporrhaphy, repair of cystocele with or without Gynecology repair of urethrocele, including cystourethroscopy, when performed 57267 Insertion of mesh or other prosthesis for repair of pelvic floor Gynecology defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure) COLPORRHAPHY, ANTERIOR, WITH COLPORRHAPHY POSTERIOR AND/OR REPAIR ANTERIOR &/ POSTERIOR &/ ENTEROCELE W SLING 57240 Anterior colporrhaphy, repair of cystocele with or without Gynecology ENTEROCELE REPAIR IF INDICATED, WITH SUBURETHRAL SLING CREATION repair of urethrocele, including cystourethroscopy, when performed Page 3 of 20 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Gynecology and Gynecology Oncology Services New Name Old Name CPT Code Service COLPORRHAPHY, ANTERIOR, WITH COLPORRHAPHY POSTERIOR AND/OR REPAIR ANTERIOR &/ POSTERIOR &/ ENTEROCELE W SLING 57250 Posterior colporrhaphy, repair of rectocele with or without Gynecology ENTEROCELE REPAIR IF INDICATED, WITH SUBURETHRAL SLING CREATION perineorrhaphy 57260 Combined anteroposterior colporrhaphy, including Gynecology cystourethroscopy, when performed; 57265 Combined anteroposterior colporrhaphy, including Gynecology cystourethroscopy, when performed; with enterocele repair 57268 Repair of enterocele, vaginal approach (separate procedure) Gynecology *57270 Repair of enterocele, abdominal approach (separate Gynecology procedure) 57288 Sling operation for stress incontinence (eg, fascia or synthetic) Gynecology COLPORRHAPHY, COMBINED ANTEROPOSTERIOR, WITH CYSTOSCOPY, REPAIR