Question: A physician plans to offer vasectomy in an ambulatory surgical center (ASC). How should you report this?
Answer: You should report a vasectomy using 55250 (Vasectomy, unilateral or bilateral [separate procedure], including postoperative semen examination[s]: APC 0183, ASC Payment Indicator A2). The code includes the local or regional anesthesia necessary for the procedure.
The physician normally performs the procedure, which involves cutting the vas deferens and suturing the ends, on both the left and right sides. Because the code descriptor specifies unilateral or bilateral, you should not apply modifiers or report multiple units for a bilateral procedure.
- Free updates on CPT, ICD-9, HCPCS, Medicare, NCCI edits, and ICD-10.
- Discounts on 3rd party offers