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May 2002 · Vol. 14, No. 5

REIMBURSEMENT ADVISER

Repair of female circumcision

Q

Which CPT and ICD-9 codes should we use for the reversal of a ritual circumcision, i.e., female genital mutilation?

A

First, report any symptoms or scarring the patient has. For example, possible codes include 623.2 (stricture or atresia of the vagina), 624.4 (old laceration or scarring of the vulva), or 624.8 (other specified noninflammatory disorders of the vulva and perineum). (The code V50.2 [routine or ritual circumcision] is inappropriate as it applies to male circumcision only.)

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