Summary & Overview
CPT 55440: Vasovasostomy, Surgical Reversal of Vasectomy
CPT code 55440 covers vasovasostomy, a surgical procedure to reverse a prior vasectomy by reconnecting the vas deferens. This code is nationally relevant as it addresses the growing demand for fertility restoration among men who have previously undergone sterilization. The procedure is performed by urology specialists, often in ambulatory surgical centers, and requires advanced microsurgical skills.
The publication provides a comprehensive overview of 55440, including clinical context, typical sites of service, and associated billing practices. Key payers such as Blue Cross Blue Shield are included in the analysis, offering insight into coverage and reimbursement trends. Readers will learn about relevant modifiers, associated taxonomies, and ICD-10 diagnoses commonly linked to vasovasostomy. Additionally, the article highlights related CPT codes to help clarify distinctions in surgical billing for male reproductive procedures.
This summary equips healthcare professionals, billing specialists, and policy analysts with essential information on coding, payer coverage, and clinical benchmarks for vasovasostomy, supporting accurate billing and informed decision-making in urology practice.
CPT Code Overview
CPT code 55440 represents vasovasostomy, vasovasorrhaphy, a surgical procedure performed to restore fertility by reconnecting the vas deferens after a prior vasectomy. This procedure is classified under urology and is typically performed in an ambulatory surgical center (Place of Service 24). Vasovasostomy is a complex microsurgical intervention that requires specialized expertise and is often sought by patients wishing to reverse sterilization. The procedure is significant in the context of reproductive health and surgical urology, offering an option for men seeking to regain fertility after vasectomy.
Clinical & Coding Specifications
Clinical Context
A typical patient scenario involves a male patient who previously underwent a vasectomy and now desires to restore fertility. The patient presents to a urology clinic for evaluation. After counseling and assessment, the patient is scheduled for a vasovasostomy (CPT 55440) at an ambulatory surgical center (Place of Service 24). The procedure is performed by a urology physician, aiming to reconnect the vas deferens to allow sperm to pass through. Postoperative follow-up includes semen analysis and monitoring for complications.
Coding Specifications
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Modifier
51(Multiple Procedures):- Used when more than one procedure is performed during the same operative session. For example, if vasovasostomy is performed along with another urologic procedure.
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Modifier
59(Distinct Procedural Service):- Used to indicate that a procedure or service is distinct or independent from other services performed on the same day.
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