Urology Coding Alert

Reader Question:

Count Intestinovaginoplasty as an Artificial Construction

Question: My urogynecologist said she is planning to perform an intestinovaginoplasty. The patient, an intersex problem, has no vagina, and the surgeon will be making one with intestines. What code would I use for this procedure?

Indiana Subscriber

Answer: Report 57292 (Construction of artificial vagina; with graft) for this procedure. Append the ICD-9 diagnostic code 302.6 (Gender identity disorder in children) or on or after Oct. 1, 2015 append ICD-10 diagnostic codes F64.1-F64.9 (Gender identity disorder).