Vaginal lesion codes

Hello!!

I have had an ongoing struggle trying to find codes when patients have genital lesions. What ICD-9 codes should I use for vulvar lesion and vaginal lesion. Also, what ICD-9 code would be approptiate for skin tags on the genital area and breast area that are being irritated by an undergarment. I find that some insurances will not pay due to these being cosmetic.

Thanks in advance for the help.

Angie

skin lesions

if a biopsy is taken and microscopically examined, due to signs/symptoms, the results of the tissue examination should be the diagnosis for removal (if done).

If a lesion poses no threat to health or function and is done for cosmetic reasons, would be considered non-covered. If the patient requests a filing to Medicare for denial purposes apply modifier GY to appropriate procedure code with a diagnosis of V50.1.

Benign skin lesions, example skin tags, that pose no threat to health or function are considered cosmetic and non-covered when removed.
nancy maguire

lesions

To follow up on lesion discussion, you inquired about vaginal lesion. If this is the only diagnostic statement see 623.9 or 623.8. See code 624.X for Vulvar conditions.