The following codes can be used when performing vasectomies: ICD-10 Diagnosis Codes Z30.9 Contraceptive management, unspecified Z30.8 Encounter for other contraceptive management (applicable to post-vasectomy sperm count) Z30.09 Encounter for other general counseling and advice on contraception Z30.2 Encounter for sterilization
Outpatient Procedure Codes - CPT Codes 55250 Encounter Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)
Other coding guidance resources have stated that CPT code 58661 would be reported for a disease process and CPT code 58670 would be reported for sterilization.
I have attached an Illustration just for reference of what they do with the salpingectomy. So your codes will be 58661 and ICD-10 code Z30.2 for the sterilization purpose. hopefully this helps. Happy to help! Coding advice contained in this issue is effective with procedures/services provided after October 31, 2016, unless otherwise noted.
Z30.40 Encounter for surveillance of contraceptives, unspecified Z98.52 Sterilization status (vasectomy) Outpatient Procedure Codes - CPT Codes
Z30.2ICD-10 code Z30. 2 for Encounter for sterilization is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Z30. 430 Encounter for insertion of intrauterine contraceptive device in ICD-10-CM.
ICD-10 Code for Other specified postprocedural states- Z98. 89- Codify by AAPC. Factors influencing health status and contact with health services. Persons with potential health hazards related to family and personal history and certain conditions influencing health status.
Sterilization means any medical procedure, treatment or operation for the sole purpose of rendering an individual permanently incapable of reproducing and not related to the repair of a damaged/dysfunctional body part.
Encounter for surveillance of other contraceptivesICD-10 code Z30. 49 for Encounter for surveillance of other contraceptives is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
411, Encounter for gynecological examination (general) (routine) with abnormal findings, or Z01. 419, Encounter for gynecological examination (general) (routine) without abnormal findings, may be used as the ICD-10-CM diagnosis code for the annual exam performed by an obstetrician–gynecologist.
ICD-10 code Z98. 890 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
10 for Atherosclerotic heart disease of native coronary artery without angina pectoris is a medical classification as listed by WHO under the range - Diseases of the circulatory system .
85.
Z98. 52 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-10-CM Code for Vasectomy status Z98. 52.
Sterilization is any medical or surgical procedure intended to render the client permanently incapable of reproducing. This includes vasectomies (CPT® code 55250), tubal ligations (CPT® codes 58600, 58605, 58611, 58615, 58670, and 58671), and hysteroscopic sterilizations (CPT® code 58565).
The 2022 edition of ICD-10-CM Z98.52 became effective on October 1, 2021.
Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status
Sterilization means any medical procedure, treatment or operation for the sole purpose of rendering an individual permanently incapable of reproducing and not related to the repair of a damaged/dysfunctional body part.
In addition, no payment would be made for sterilization procedures if it is a preventive measure e.g., a physician believes pregnancy would cause overall endangerment to a woman's health, or as a measure to prevent the possible development of, or effect on a mental condition, should pregnancy occur.
Under the Medicare Program guidelines the coverage of sterilization is limited to necessary treatment of an illness or injury. An example of necessary treatment is the removal of a uterus or removal of diseased ovaries (bilateral oophorectomy) because of a tumor, or bilateral orchiectomy in the case of prostate cancer.
So your codes will be 58661 and ICD-10 code Z30.2 for the sterilization purpose.
If the only purpose of the procedure was to do a salpingectomy (mearning a removal of the fallopian tube) then yes, the code will be 58661. This can be a procedure performed with a major surgery such as a hysterectomy (removal of the uterus and cervix) which can give you a different code.
Report CPT code 58661, Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy), would be reported for the bilateral salpingectomy.
2. Feb 27, 2019. #6. while this can be extremely helpful to some you should know that information contained in Coding Clinics is copy protected and copy and paste from these publications is strictly prohibited. You may reference the issue and the type of information contained but you cannot verbatim copy and paste.