How To Use CPT Code 56700

CPT 56700 describes a procedure that involves the partial removal or revision of the hymenal membrane or hymenal ring. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 56700?

CPT 56700 is a code used to describe a procedure that involves the partial removal or revision of the hymenal membrane or hymenal ring. This procedure is typically performed by a healthcare provider in order to address certain conditions or concerns related to the hymen.

2. Official Description

The official description of CPT code 56700 is: ‘Partial hymenectomy or revision of hymenal ring.’

3. Procedure

1. The patient is positioned in the dorsal lithotomy position, with knees bent and spread apart using stirrups.
2. The healthcare provider administers local anesthesia to block any pain.
3. The perineum is prepped and draped, and the labia are retracted.
4. The healthcare provider uses tissue forceps to grasp the hymenal tags and makes an incision to open the vaginal canal.
5. If performing a partial hymenectomy, the provider excises part of the hymenal membrane and completely removes it from the connection with the vaginal opening.
6. If revising the hymenal ring, the provider modifies the ring of tissue inside the labia and inside the vaginal canal.
7. The provider sutures the cut margins with deep running stitches or sutures.

4. Qualifying circumstances

CPT 56700 is typically performed for patients who have specific conditions or concerns related to the hymen. This procedure may be necessary for individuals experiencing issues such as an imperforate hymen, hymenal stenosis, or other abnormalities of the hymen. It is important to note that the procedure should only be performed when medically necessary and in accordance with appropriate guidelines and ethical considerations.

5. When to use CPT code 56700

CPT code 56700 should be used when a healthcare provider performs a partial hymenectomy or revision of the hymenal ring. It is important to ensure that the procedure is medically necessary and appropriate for the patient’s specific condition or concern. The use of this code should be supported by proper documentation and adherence to relevant guidelines and regulations.

6. Documentation requirements

In order to support a claim for CPT code 56700, the healthcare provider must document the following information:

• Patient’s specific condition or concern related to the hymen
• Details of the procedure performed, including whether it was a partial hymenectomy or revision of the hymenal ring
• Date of the procedure
• Any relevant findings or observations during the procedure
• Details of any complications or unexpected events
• Post-procedure instructions or recommendations
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT code 56700, it is important to ensure that the procedure performed aligns with the description of the code. The healthcare provider should follow appropriate coding and billing guidelines, including any specific requirements from insurance providers or regulatory bodies. It is also important to accurately document and code any additional procedures or services performed in conjunction with CPT code 56700.

8. Historical information

CPT code 56700 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A healthcare provider performs a partial hymenectomy for a patient with an imperforate hymen.
2. A patient undergoes a revision of the hymenal ring to address hymenal stenosis.
3. A healthcare provider performs a partial hymenectomy for a patient with a hymenal abnormality causing discomfort.
4. A patient undergoes a revision of the hymenal ring to address cosmetic concerns.
5. A healthcare provider performs a partial hymenectomy for a patient with a hymenal abnormality affecting sexual function.
6. A patient undergoes a revision of the hymenal ring to address recurrent infections.
7. A healthcare provider performs a partial hymenectomy for a patient with a hymenal abnormality causing recurrent pain.
8. A patient undergoes a revision of the hymenal ring to address a congenital hymenal anomaly.
9. A healthcare provider performs a partial hymenectomy for a patient with a hymenal abnormality affecting menstrual flow.
10. A patient undergoes a revision of the hymenal ring to address a traumatic injury to the hymen.