Re: VIN and coding

From: ainsron@msn.com
Fri Nov 3 11:02:01 2000


Excision has been my first choice. I've also had good results with 5FU, but patient has to be prepared to deal with a lot of discomfort/sloughing.

>It's been awhile since I have had to deal with VIN II. This lady is a 65 yo
>with biopsy confirmed VIN II on the labia majora across the clitoral hood
>and onto the contralateral labia majora. Anyone using 5-FU or Aldara or
>interferon for this? Is excision or laser still the treatment of choice?
>
>Next regarding coding for twin ultrasounds. Saw a note in OB-Gyn Coding
>Alert about billing for two ultrasounds when scanning twins. Seems
>resonable given that you are examining twice as many babies and then
>comparing them to each other. What about triplets? I tried this a few
>times, suprisingly I got nowhere.
>
>Har Holmes, MD FACOG
>Little Falls, MN

--
Ronald E. Ainsworth, MD




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