CPT^® 55250, Under Excision Procedures on the Vas Deferens

The Current Procedural Terminology (CPT^®) code 55250 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Vas Deferens.

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Summary

This procedure involves cutting the vas deferens and suturing the ends, on both the left and right sides. The provider then performs a postoperative semen examination. Even though the CPT code descriptor specifies unilateral or bilateral, report the procedure the same way whether it's done on one or both sides.

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Post Vas specimens

We had a rep come into the office advertising post vas specimen kits. These kits would be sent to the patient's home and they would mail in the specimens to their lab for analysis. We've always do... [ Read More ]

Vasectomy for reasons other than sterilization?

A low inguinal incision made to the top of the left hemiscrotum and dissection proceeded through Scarpa's fascia to the level of the external ring. This was partially opened and the cord structures i... [ Read More ]

55250

The cost of the semen analyses performed in house is included in the 55250 until the analysis is negative for sperm.. I am sure an outside lab will charge the patient.... [ Read More ]

55250

New to this procedure. Is the post op semen analysis, if not done in house and performed at a local lab, a billable service to the patient?... [ Read More ]

Robotic Excision of intraabdominal vas deferens?

I would suggest the following coding for your clinical scenario: 55559 unlisted laparoscopy/robotic procedure, spermatic cord, for the pelvic vasectomy, Bench mark to 55250 55250 for the trans-... [ Read More ]

Staged Vasectomy?

As per Dr. Ray Painter's discussion in PRS, 2019, I would suggest the following coding for your double clinical scenarios: First vasectomy 55250-52 -LT Second vasectomy... [ Read More ]

Vasectomy without semen analysis

We don't do a lot of vasectomies, but I wanted to be sure. We no longer do the semen analysis, we send it out. The clinic has reached out to me after reading the description of the code for 55250. My... [ Read More ]

55250 Vasectomy

I am trying to clarify if 55250 Vasectomy is always considered to be a medically necessary procedure? **Per CMS Guidelines that in order for a payment to be made on this procedure it should be documen... [ Read More ]

ICD 10 code for 55250 Vasectomy

Just a follow-up question, I am just trying to clarify if 55250 Vasectomy is always considered to be a medically necessary procedure? **Per CMS Guidelines that in order for a payment to be made on... [ Read More ]

Repeat Vasectomy?

The patient had a vasectomy performed which was paid in full by the insurance. It was noted at that time that the patient would need to undergo scrotal exploration to identify the left vas and complet... [ Read More ]

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