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Quizzes > Health & Medicine > Human Anatomy & Medicine

Female Genital & Maternity Delivery Coding Quiz

Think you know CPT codes for vulvectomy, colposcopy and fetal shunt placement?

Difficulty: Moderate
2-5mins
Learning OutcomesCheat Sheet
Paper art quiz on scored medical coding skills from CPT vulvectomy to vulvar colposcopic biopsy on golden yellow background

Ready to master the cpt code for vulvectomy and elevate your maternity and delivery coding skills? This free scored quiz tests your knowledge on essential procedures - from vulvectomy to colposcopy of vulva with biopsy cpt code, and even fetal shunt placement including ultrasound guidance cpt code. Ideal for medical coders and midwives, you'll challenge yourself, get instant feedback, and uncover areas to improve. Looking for more practice? Check out our obstetrics nursing cases and midwifery scenarios . Dive in now and chart your path to coding confidence! Take the quiz today to benchmark your expertise and stay ahead in obstetrics coding excellence.

Which CPT code represents a simple vulvectomy?
56620
56622
56600
56623
CPT code 56620 is designated for a simple vulvectomy involving excision of vulvar tissue without deeper structures. Radical and two-stage radical vulvectomies use other codes in the 56622–56623 range. Source: AAPC CPT 56620
What is the correct CPT code for a radical vulvectomy?
56622
56620
56601
56605
CPT code 56622 covers a radical vulvectomy, which includes excision of deeper tissues such as fascia and possibly clitoral structures. A simple vulvectomy uses 56620, while lesion excisions use 56601–56605. Source: AAPC CPT 56622
Which CPT code describes a two-stage radical vulvectomy?
56623
56622
56620
56625
CPT 56623 is designated for a two-stage radical vulvectomy, distinguished from a single-stage procedure coded as 56622. Simple procedures are 56620, and partial radical is 56625. Source: AAPC CPT 56623
What CPT code is used for a partial radical vulvectomy?
56625
56620
56622
56623
CPT 56625 describes a partial radical vulvectomy, which involves excision of part of vulval structures with deeper margins. Other codes in this series cover simple or full radical procedures. Source: AAPC CPT 56625
Which CPT code represents excision of a single vulvar lesion (benign or malignant)?
56601
56605
56620
56622
CPT code 56601 covers excision of a single vulvar lesion by any method. Multiple lesion excisions use 56605, and vulvectomy codes cover larger resections. Source: AAPC CPT 56601
What is the CPT code for excision of multiple vulvar lesions?
56605
56601
56620
56622
CPT 56605 is used for excision of multiple vulvar lesions. A single lesion excision uses 56601, while vulvectomy codes are used for more extensive tissue removal. Source: AAPC CPT 56605
Which code range includes all vulvectomy procedures?
56620–56625
56600–56605
57400–57412
57500–57510
CPT codes 56620 through 56625 cover simple, radical, two-stage radical, and partial radical vulvectomy procedures. Other ranges cover lesion excisions or colposcopy. Source: AAPC Code Range
Which modifier indicates a bilateral vulvectomy procedure?
50
LT
RT
51
Modifier 50 is used to denote a bilateral procedure. LT and RT specify left or right only, and modifier 51 indicates multiple procedures. Source: AAPC Modifier 50
Which modifier is used to report a repeat (identical) procedure by the same physician?
76
77
79
58
Modifier 76 is applied for a repeat procedure by the same provider. Modifier 77 is for a repeat by another provider, 79 indicates an unrelated procedure, and 58 is for staged or related procedures. Source: AAPC Modifier 76
When a pelvic lymphadenectomy is performed with a vulvectomy, how should it be coded?
Report lymph node dissection separately with appropriate 38500-38530 code
It is included in the vulvectomy code
Use an add-on code for lymph nodes
Report as unlisted procedure
Pelvic lymphadenectomy is not bundled with vulvectomy codes and must be reported separately using the correct lymph node dissection code (38500 series). Source: AAPC Lymphadenectomy Codes
Which CPT code range covers full-thickness skin grafts often used for vulvar defects?
15200–15261
15002–15005
15400–15431
17000–17004
Codes 15200–15261 include full-thickness skin grafts by anatomical site. Other ranges cover different graft types or lesion destructions. Source: AAPC CPT 15200
What CPT code is used for frozen section margin analysis during vulvectomy?
88331
88305
88330
88342
CPT 88331 covers frozen section intraoperative consultation and margin analysis. Other pathology codes cover routine or advanced tests. Source: AAPC CPT 88331
Which CPT code describes destruction of vulvar lesions by electrocautery or fulguration?
56820
56620
57001
57005
CPT 56820 is used for destruction (e.g., electrocautery) of benign or malignant vulvar lesions. Vulvectomy codes and other destruction codes are in different ranges. Source: AAPC CPT 56820
What is the standard global period for vulvectomy procedures?
90 days
0 days
10 days
30 days
Most major surgical procedures, including vulvectomy (56620–56625), carry a 90-day global surgical period according to CPT guidelines. Source: AAPC Global Periods
Which type of provider is eligible to report CPT vulvectomy codes in professional billing?
Physician (MD/DO)
Physical Therapist
Registered Nurse
Pharmacist
Only qualified physicians (MD or DO) can report major surgical CPT codes such as vulvectomy in professional billing. Other practitioners bill under supervision or different code sets. Source: AAPC Professional Scope
In which CPT manual section are vulvectomy codes found?
Female Genital System
Digestive System
Musculoskeletal System
Urinary System
Vulvectomy codes appear in the Female Genital System section of the CPT manual under surgical procedures. Other systems contain unrelated codes. Source: AAPC CPT Manual
What CPT code should you report for colposcopy of the vulva with biopsy?
57454
56605
57452
57460
There is no separate vulvar colposcopy code; guidelines direct coders to use CPT 57454, which covers colposcopy of the cervix and vagina with biopsy and includes vulvar examination by convention. Source: AAPC CPT 57454
A patient undergoes a simple vulvectomy and groin lymph node dissection. How should this be coded?
56620 + 38571
56620 only
56622 only
56620 + unlisted code
Simple vulvectomy (56620) and superficial inguinal lymphadenectomy (38571) are reported separately as they are distinct procedures. Source: AAPC CPT 38571
When an immediate skin graft is performed on a vulvar defect after vulvectomy, how is it coded?
56620 + 15220
56622 + 15120
56625 + 15221
56620 only
Report the vulvectomy (56620) and the full-thickness skin graft code 15220 for grafting to the vulvar area. Each service requires its own code. Source: AAPC CPT 15220
Which modifier indicates the use of an assistant surgeon on a vulvectomy?
80
62
AS
50
Modifier 80 denotes an assistant surgeon. Modifier 62 also indicates assistant surgeon in some payor systems but 80 is the standard CPT modifier. Source: AAPC Modifier 80
How is a radical vulvectomy with bilateral inguinal lymphadenectomy coded?
56622 + 38580
56622 only
56623 + 38580
56620 + 38571 + 38580
Use 56622 for radical vulvectomy and 38580 for superficial bilateral inguinal lymphadenectomy. Other combinations either duplicate or misstate laterality. Source: AAPC CPT 38580
Which CPT code covers immunohistochemical staining performed on vulvar biopsy tissue?
88342
88331
88305
88312
CPT 88342 describes immunohistochemistry. Frozen sections are 88331, routine pathology is 88305, and special stains unspecified are 88312. Source: AAPC CPT 88342
Removal of a Bartholin gland cyst during vulvectomy is:
Bundled and not reported separately
Reported with 56650
Coded with an add-on code
Reported as unlisted procedure
Bartholin gland removal is included in vulvectomy codes and should not be billed separately. Attempting to report 56650 separately would result in bundling denial. Source: AAPC CPT 56650
Which modifier distinguishes a distinct procedural service when performing vulvar biopsy on the same day as another procedure?
59
76
78
24
Modifier 59 is used to indicate a distinct, separate procedure on the same day. Other modifiers cover repeat, staged, or unrelated services. Source: AAPC Modifier 59
In ICD-10-PCS coding, what is the root operation for a vulvectomy?
Excision
Resection
Destruction
Extraction
ICD-10-PCS classifies vulvectomy under the root operation 'Excision', which is cutting out skin or mucous membrane including margins. Resection is removal of an organ or entire structure. Source: CMS PCS Definitions
According to NCCI edits, which procedure is bundled and cannot be reported separately with simple vulvectomy?
Excision of multiple lesions (56605)
Simple vulvectomy (56620)
Biopsy of vulva (56601)
Radical vulvectomy (56622)
NCCI bundling rules prevent reporting biopsy or lesion excision codes like 56605 in addition to simple vulvectomy (56620), as they are considered part of the same surgical session. Source: CMS NCCI Edits
How is a laparoscopic simple vulvectomy coded?
56620 (no separate laparoscopic code)
56621
57454
58558
CPT does not assign a separate laparoscopic entry for vulvectomy; the same code 56620 applies regardless of approach. Source: AAPC CPT 56620
Which CPT code describes a two-stage radical vulvectomy when performed in separate sessions?
56623
56622
56620
56625
CPT 56623 is specific to two-stage radical vulvectomy, indicating multiple surgical sessions for complete radical removal. Single-stage procedures use 56622. Source: AAPC CPT 56623
If a simple vulvectomy is converted intraoperatively to a radical vulvectomy, which code is reported?
56622
56620
56623
56625
When the procedure is extended to a radical vulvectomy intraoperatively, report the radical code 56622 since it reflects the final extent of surgery. Source: AAPC CPT 56622
Which CPT code is used for cryotherapy (destruction) of vulvar condyloma?
56821
56820
56620
57454
CPT 56821 covers destruction of vulvar lesion(s) by cryotherapy. Code 56820 is for electrocautery or laser, and vulvectomy codes are for excision. Source: AAPC CPT 56821
Which CPT code range covers colposcopy procedures including those with biopsy?
57400–57412
57000–57010
56600–56620
57500–57508
Colposcopy of the cervix, vagina, and vulva (by guidance) is found in the 57400–57412 range. Other ranges pertain to unrelated systems. Source: AAPC CPT 57400
An unlisted procedure code is needed for an extended vulvectomy that includes perianal tissue removal. Which code should you use?
56899
56625
56623
57454
When the procedure exceeds the descriptions in existing CPT codes (56620–56625), report the unlisted procedure code 56899 and supply documentation. Source: AAPC Unlisted Codes
Which CPT code describes a superficial inguinal lymphadenectomy performed with vulvectomy?
38571
38580
38900
38525
CPT 38571 covers superficial inguinal lymphadenectomy (unilateral). CPT 38580 covers bilateral superficial, 38900 is sentinel node biopsy. Source: AAPC CPT 38571
What CPT code is used for deep inguinal-femoral lymphadenectomy?
38580
38571
38900
38525
CPT 38580 is used for deep inguinal-femoral lymph node dissection, typically performed bilaterally. Source: AAPC CPT 38580
Which CPT code reports sentinel lymph node biopsy of the vulva?
38900
38571
38580
56620
CPT 38900 covers lymphatic mapping and sentinel node biopsy, which can be applied to vulvar cancer staging. Source: AAPC CPT 38900
When vulvar reconstruction uses a musculocutaneous flap, which CPT code applies?
15738
15736
15220
56625
CPT 15738 covers musculocutaneous flap reconstruction of the trunk, head, or neck, and is applied by analogy to vulvar reconstruction. Source: AAPC CPT 15738
Which code should be used for frozen section intraoperative consultation requiring 3–5 tissue blocks?
88334
88331
88332
88342
CPT 88334 describes each additional frozen section tissue block beyond the first two (88331 covers the first two). Source: AAPC CPT 88334
How should you code a vulvectomy performed concurrently with a total abdominal hysterectomy?
56620 + 58150
56622 (includes hysterectomy)
58150 only
56620 only
Vulvectomy and hysterectomy are separate procedures on different organ systems and should be reported with 56620 and 58150 respectively. Source: AAPC CPT 58150
Which modifier is used when vitally distinct incisions are performed for vulvectomy and another procedure on the same day?
59
XE
RT
51
Modifier 59 is applied to identify a distinct procedural service performed on the same day with separate incisions. Source: AAPC Modifier 59
When multiple vulvar lesions are excised from separate quadrants in one session, which code applies?
56605
56601
56620
56820
CPT 56605 is used for excision of multiple vulvar lesions regardless of quadrant. A single lesion uses 56601, and vulvectomy codes cover broader resections. Source: AAPC CPT 56605
How is a pelvic lymphadenectomy separate from superficial inguinal dissection coded?
38740
38571
38580
38900
CPT 38740 covers pelvic lymph node dissection. Superficial inguinal uses 38571 and bilateral inguinal uses 38580. Source: AAPC CPT 38740
Which CPT code describes a partial radical vulvectomy with removal of adjacent perineal tissue?
56625
56622
56620
56899
CPT 56625 is assigned for partial radical vulvectomy, which includes adjacent tissues beyond a simple excision. Full radical is 56622. Source: AAPC CPT 56625
Which CPT code sequence is correct for radical vulvectomy and deep lymphadenectomy with sentinel node biopsy?
56622 + 38580 + 38900
56622 + 38571 + 38900
56623 + 38580
56620 + 38900
Report 56622 for radical vulvectomy, 38580 for deep bilateral lymphadenectomy, and 38900 for sentinel node biopsy. Each code reflects a unique component. Source: AAPC CPT 38900
Under ICD-10-PCS, which code describes total vulvectomy via external approach?
0UBD0ZZ
0UBD7ZZ
0UBD8ZZ
0UBD9ZZ
ICD-10-PCS code 0UBD0ZZ represents excision (total) of vulva via external approach. Other codes indicate partial or different approaches. Source: CMS ICD-10-PCS Reference
Under ICD-10-PCS, which code is used for partial excision of vulva via external approach?
0UBD7ZZ
0UBD0ZZ
0UBD8ZZ
0UBD2ZZ
ICD-10-PCS code 0UBD7ZZ denotes excision (partial) of vulva via external approach. Code 0UBD0ZZ is total excision. Source: CMS ICD-10-PCS Reference
If operative documentation states 'radical vulvectomy' but lacks detail on the depth of excision, how should a coder proceed?
Query the surgeon for clarification
Code as simple vulvectomy
Use unlisted code
Assume radical and code 56622
Accurate coding requires clear documentation; when key details are missing, the coder must query the provider rather than make assumptions. Source: CDC ICD-10-CM Guidelines
Which CPT guidelines state that tissue harvesting for future reconstruction is not separately reportable with vulvectomy?
Rule that reconstructive codes include donor site management
Modifier rules for assistant grafting
Anesthesia section instructions
Evaluation and Management guidelines
CPT recognizes that reconstructive procedures include donor site work, so tissue harvesting is bundled with the flap or graft code and not separately reported. Source: AAPC Coding Guidelines
For an extended radical vulvectomy including pelvic floor musculature not described in CPT, which code selection is appropriate?
Use unlisted procedure code 56699
Report as 56623
Code multiple partial codes
Use 56622 with modifier 22
When a procedure extends beyond existing CPT descriptors, the appropriate unlisted procedure code (56699) is used, with documentation for payer review. Source: AAPC Unlisted Procedures
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Study Outcomes

  1. Identify CPT Code for Vulvectomy -

    Apply standardized coding principles to accurately determine the cpt code for vulvectomy based on procedural details and documentation.

  2. Differentiate Colposcopy of Vulva with Biopsy Codes -

    Analyze operative notes to distinguish the colposcopy of vulva with biopsy cpt code from similar lower genital tract procedures.

  3. Select Fetal Shunt Placement CPT Code -

    Evaluate ultrasound guidance documentation to select the correct fetal shunt placement including ultrasound guidance cpt code.

  4. Apply Genital and Delivery Coding Guidelines -

    Integrate current Female Genital and Maternity Care guidelines to ensure compliant and consistent coding across cases.

  5. Interpret Clinical Documentation -

    Review and interpret operative and imaging reports to capture all necessary details for precise maternity and delivery coding.

  6. Validate Coding Accuracy -

    Use immediate quiz scoring to measure your performance and refine your approach to medical coding challenges.

Cheat Sheet

  1. CPT Code for Vulvectomy Classification -

    Vulvectomy procedures are categorized under CPT codes 56620 - 56622, distinguishing simple excisions from radical resections according to AMA's CPT® 2024 manual. Remember "56 for she's six feet strong," a mnemonic linking 56 with the strength of external genital excision. Always cross-check patient history and operative reports to select the precise code for partial versus radical vulvectomy.(Source: AMA CPT® Professional)

  2. Colposcopy of Vulva with Biopsy CPT Code -

    Colposcopy of the vulva with biopsy is specifically coded as 56820, per ACOG coding guidelines. Use the memory trick "5-6-8 Vulva Visually Investigate & Take Eight Samples" to recall 56820 for colposcopy of vulva with biopsy CPT code. Accurate lesion counts and pathology pairing ensure correct reimbursement and clinical documentation.(Source: ACOG Practice Bulletin & CPT® Professional)

  3. Fetal Shunt Placement Including Ultrasound Guidance CPT Code -

    Intrauterine fetal shunt placement under ultrasound guidance is coded 59040, capturing both the surgical and imaging components. Picture "59-040: sound waves guide the shunt's flow" to lock in the fetal shunt placement including ultrasound guidance CPT code. Confirm that ultrasound guidance is documented to justify the single bundled code.(Source: ACOG Technical Bulletin & CPT® Professional)

  4. Modifier Best Practices & Global Periods -

    Apply modifiers like -59 for distinct procedural services or -LT/-RT for laterality when coding procedures such as vulvectomy or colposcopy. The mnemonic "MGL: Modifier Governs Limits" helps recall that modifiers can override global periods or bundle edits. Always review payer policies and the National Correct Coding Initiative (NCCI) to avoid denials.(Source: NCCI Edits & CMS Guidelines)

  5. Documentation Essentials for Compliance -

    Comprehensive operative notes must detail lesion size, location, guidance technique, and laterality to support codes like 56620 or 59040. Use the "LNG Checklist" (Location, Number, Guidance) to ensure documentation completeness. This approach aligns with Joint Commission standards and minimizes audit risks.(Source: The Joint Commission & Coding Clinic)

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