Appendix Table 1.
Gender-Specific Procedure Codes Related to Condition Code 45 and the KX Modifier
HCPCS | Valid sex | Code description | HCPCS | Valid sex | Code description |
---|---|---|---|---|---|
0071T | Female | U/s leiomyomata ablate <200 | 57545 | Female | Remove cervix/repair pelvis |
0072T | Female | U/s leiomyomata ablate >200 | 57550 | Female | Removal of residual cervix |
00842 | Female | Anesth amniocentesis | 57555 | Female | Remove cervix/repair vagina |
00846 | Female | Anesth hysterectomy | 57556 | Female | Remove cervix/repair bowel |
00851 | Female | Anesth tubal ligation | 57558 | Female | D and c of cervical stump |
00865 | Male | Anesth removal of prostate | 57700 | Female | Revision of cervix |
00906 | Female | Anesth removal of vulva | 57720 | Female | Revision of cervix |
00908 | Male | Anesth removal of prostate | 57800 | Female | Dilation of cervical canal |
00914 | Male | Anesth removal of prostate | 58100 | Female | Biopsy of uterus lining |
00920 | Male | Anesth genitalia surgery | 58110 | Female | Bx done w/colposcopy add‐on |
00921 | Male | Anesth vasectomy | 58120 | Female | Dilation and curettage |
00922 | Male | Anesth sperm duct surgery | 58140 | Female | Myomectomy abdominal method |
00924 | Male | Anesth testis exploration | 58145 | Female | Myomectomy vaginal method |
00926 | Male | Anesth removal of testis | 58146 | Female | Myomectomy abdominal complex |
00928 | Male | Anesth removal of testis | 58150 | Female | Total hysterectomy |
00930 | Male | Anesth testis suspension | 58152 | Female | Total hysterectomy |
00932 | Male | Anesth amputation of penis | 58180 | Female | Partial hysterectomy |
00934 | Male | Anesth penis nodes removal | 58200 | Female | Extensive hysterectomy |
00936 | Male | Anesth penis nodes removal | 58210 | Female | Extensive hysterectomy |
00938 | Male | Anesth insert penis device | 58240 | Female | Removal of pelvis contents |
00940 | Female | Anesth vaginal procedures | 58260 | Female | Vaginal hysterectomy |
00942 | Female | Anesth surgery on vaginal/urethral | 58262 | Female | Vaginal hysterectomy including t/o |
00944 | Female | Anesth vaginal hysterectomy | 58263 | Female | Vaginal hysterectomy w/t/o and vaginal repair |
00948 | Female | Anesth repair of cervix | 58267 | Female | Vaginal hysterectomy w/urinary repair |
00950 | Female | Anesth vaginal endoscopy | 58270 | Female | Vaginal hysterectomy w/enterocele repair |
00952 | Female | Anesth hysteroscope/graph | 58275 | Female | Hysterectomy/revise vagina |
01960 | Female | Anesth vaginal delivery | 58280 | Female | Hysterectomy/revise vagina |
01961 | Female | Anesth cs delivery | 58285 | Female | Extensive hysterectomy |
01962 | Female | Anesth emergency hysterectomy | 58290 | Female | Vaginal hysterectomy complex |
01963 | Female | Anesth cs hysterectomy | 58291 | Female | Vaginal hysterectomy including t/o complex |
01965 | Female | Anesth inc/missed ab procedure | 58292 | Female | Vaginal hysterectomy t/o and repair complex |
01966 | Female | Anesth induced ab procedure | 58293 | Female | Vaginal hysterectomy w/uro repair complex |
01967 | Female | Anesth/analg vaginal delivery | 58294 | Female | Vaginal hysterectomy w/enterocele complex |
01968 | Female | Anes/analg cs deliver add‐on | 58300 | Female | Insert intrauterine device |
01969 | Female | Anesth/analg cs hysterectomy add‐on | 58301 | Female | Remove intrauterine device |
0336T | Female | Lap ablat uterine fibroids | 58321 | Female | Artificial insemination |
0500F | Female | Initial prenatal care visit | 58322 | Female | Artificial insemination |
0501F | Female | Prenatal flow sheet | 58323 | Female | Sperm washing |
0502F | Female | Subsequent prenatal care | 58340 | Female | Catheter for hysterography |
0503F | Female | Postpartum care visit | 58345 | Female | Reopen fallopian tube |
11976 | Female | Remove contraceptive capsule | 58346 | Female | Insert heyman uteri capsule |
19300 | Male | Removal of breast tissue | 58350 | Female | Reopen fallopian tube |
3015F | Female | Cerv cancer screen docd | 58353 | Female | Endometrial ablate thermal |
36460 | Female | Transfusion service fetal | 58356 | Female | Endometrial cryoablation |
37788 | Male | Revascularization penis | 58400 | Female | Suspension of uterus |
46744 | Female | Repair of cloacal anomaly | 58410 | Female | Suspension of uterus |
46746 | Female | Repair of cloacal anomaly | 58520 | Female | Repair of ruptured uterus |
46748 | Female | Repair of cloacal anomaly | 58540 | Female | Revision of uterus |
50722 | Female | Release of ureter | 58541 | Female | Lsh uterus 250 g or less |
51845 | Female | Repair bladder neck | 58542 | Female | Lsh w/t/o ut 250 g or less |
51920 | Female | Close bladder–uterus fistula | 58544 | Female | Lsh w/t/o uterus above 250 g |
51925 | Female | Hysterectomy/bladder repair | 58545 | Female | Laparoscopic myomectomy |
52010 | Male | Cystoscopy and duct catheter | 58546 | Female | Laparomyomectomy complex |
52270 | Female | Cystoscopy and revise urethra | 58548 | Female | Lap radical hyst |
52275 | Male | Cystoscopy and revise urethra | 58550 | Female | Laparo‐asst vaginal hysterectomy |
52285 | Female | Cystoscopy and treatment | 58552 | Female | Laparovaginal hysterectomy including t/o |
52402 | Male | Cystourethro cut ejaculatory duct | 58553 | Female | Laparovaginal hysterectomy complex |
52450 | Male | Incision of prostate | 58554 | Female | Laparovaginal hysterectomy w/t/o complex |
52601 | Male | Prostatectomy (turp) | 58555 | Female | Hysteroscopy dx sep procedure |
52647 | Male | Laser surgery of prostate | 58558 | Female | Hysteroscopy biopsy |
52648 | Male | Laser surgery of prostate | 58559 | Female | Hysteroscopy lysis |
52649 | Male | Prostate laser enucleation | 58560 | Female | Hysteroscopy resect septum |
52700 | Male | Drainage of prostate abscess | 58561 | Female | Hysteroscopy remove myoma |
53210 | Female | Removal of urethra | 58562 | Female | Hysteroscopy remove fb |
53215 | Male | Removal of urethra | 58563 | Female | Hysteroscopy ablation |
53230 | Female | Removal of urethra lesion | 58565 | Female | Hysteroscopy sterilization |
53235 | Male | Removal of urethra lesion | 58570 | Female | Tlh uterus 250 g or less |
53410 | Male | Reconstruction of urethra | 58571 | Female | Tlh w/t/o 250 g or less |
53415 | Male | Reconstruction of urethra | 58572 | Female | Tlh uterus over 250 g |
53420 | Male | Reconstruct urethra stage 1 | 58573 | Female | Tlh w/t/o uterus over 250 g |
53425 | Male | Reconstruct urethra stage 2 | 58578 | Female | Laparo proc uterus |
53430 | Female | Reconstruction of urethra | 58579 | Female | Hysteroscope procedure |
53440 | Male | Male sling procedure | 58600 | Female | Division of fallopian tube |
53442 | Male | Remove/revise male sling | 58605 | Female | Division of fallopian tube |
53502 | Female | Repair of urethra injury | 58611 | Female | Ligate oviduct(s) add‐on |
53505 | Male | Repair of urethra injury | 58615 | Female | Occlude fallopian tube(s) |
53510 | Male | Repair of urethra injury | 58660 | Female | Laparoscopy lysis |
53515 | Male | Repair of urethra injury | 58661 | Female | Laparoscopy remove adnexa |
53520 | Male | Repair of urethra defect | 58662 | Female | Laparoscopy excise lesions |
53600 | Male | Dilate urethra stricture | 58670 | Female | Laparoscopy tubal cautery |
53601 | Male | Dilate urethra stricture | 58671 | Female | Laparoscopy tubal block |
53605 | Male | Dilate urethra stricture | 58672 | Female | Laparoscopy fimbrioplasty |
53620 | Male | Dilate urethra stricture | 58673 | Female | Laparoscopy salpingostomy |
53621 | Male | Dilate urethra stricture | 58679 | Female | Laparoscopy procedure oviduct–ovary |
53660 | Female | Dilation of urethra | 58700 | Female | Removal of fallopian tube |
53661 | Female | Dilation of urethra | 58720 | Female | Removal of ovary/tube(s) |
53665 | Female | Dilation of urethra | 58740 | Female | Adhesiolysis tube ovary |
53850 | Male | Prostatic microwave thermotx | 58750 | Female | Repair oviduct |
53852 | Male | Prostatic rf thermotx | 58752 | Female | Revise ovarian tube(s) |
53855 | Male | Insert prost urethral stent | 58760 | Female | Fimbrioplasty |
53860 | Female | Transurethral rf treatment | 58770 | Female | Create new tubal opening |
54000 | Male | Slitting of prepuce | 58800 | Female | Drainage of ovarian cyst(s) |
54001 | Male | Slitting of prepuce | 58805 | Female | Drainage of ovarian cyst(s) |
54015 | Male | Drain penis lesion | 58820 | Female | Drain ovary abscess open |
54050 | Male | Destruction penis lesion(s) | 58822 | Female | Drain ovary abscess percut |
54055 | Male | Destruction penis lesion(s) | 58825 | Female | Transposition ovary(s) |
54056 | Male | Cryosurgery penis lesion(s) | 58900 | Female | Biopsy of ovary(s) |
54057 | Male | Laser surgery penis lesion(s) | 58920 | Female | Partial removal of ovary(s) |
54060 | Male | Excision of penis lesion(s) | 58925 | Female | Removal of ovarian cyst(s) |
54065 | Male | Destruction penis lesion(s) | 58940 | Female | Removal of ovary(s) |
54100 | Male | Biopsy of penis | 58943 | Female | Removal of ovary(s) |
54110 | Male | Treatment of penis lesion | 58951 | Female | Resect ovarian malignancy |
54111 | Male | Treat penis lesion graft | 58952 | Female | Resect ovarian malignancy |
54112 | Male | Treat penis lesion graft | 58953 | Female | Tah rad dissect for debulk |
54115 | Male | Treatment of penis lesion | 58954 | Female | Tah rad debulk/lymph remove |
54120 | Male | Partial removal of penis | 58956 | Female | Bso omentectomy w/tah |
54125 | Male | Removal of penis | 58957 | Female | Resect recurrent gyn mal |
54130 | Male | Remove penis and nodes | 58958 | Female | Resect recur gyn mal w/lym |
54135 | Male | Remove penis and nodes | 58960 | Female | Exploration of abdomen |
54150 | Male | Circumcision w/regionl block | 58970 | Female | Retrieval of oocyte |
54160 | Male | Circumcision neonate | 58974 | Female | Transfer of embryo |
54161 | Male | Circum 28 days or older | 58976 | Female | Transfer of embryo |
54162 | Male | Lysis penil circumic lesion | 58999 | Female | Genital surgery procedure |
54163 | Male | Repair of circumcision | 59000 | Female | Amniocentesis diagnostic |
54164 | Male | Frenulotomy of penis | 59001 | Female | Amniocentesis therapeutic |
54200 | Male | Treatment of penis lesion | 59012 | Female | Fetal cord puncture prenatal |
54205 | Male | Treatment of penis lesion | 59015 | Female | Chorion biopsy |
54220 | Male | Treatment of penis lesion | 59020 | Female | Fetal contract stress test |
54230 | Male | Prepare penis study | 59025 | Female | Fetal nonstress test |
54231 | Male | Dynamic cavernosometry | 59030 | Female | Fetal scalp blood sample |
54235 | Male | Penile injection | 59050 | Female | Fetal monitor w/report |
54240 | Male | Penis study | 59051 | Female | Fetal monitor/interpret only |
54250 | Male | Penis study | 59070 | Female | Transabdom amnioinfus w/us |
54300 | Male | Revision of penis | 59072 | Female | Umbilical cord occlusion w/us |
54304 | Male | Revision of penis | 59074 | Female | Fetal fluid drainage w/us |
54308 | Male | Reconstruction of urethra | 59076 | Female | Fetal shunt placement w/us |
54312 | Male | Reconstruction of urethra | 59100 | Female | Remove uterus lesion |
54316 | Male | Reconstruction of urethra | 59120 | Female | Treat ectopic pregnancy |
54318 | Male | Reconstruction of urethra | 59121 | Female | Treat ectopic pregnancy |
54322 | Male | Reconstruction of urethra | 59130 | Female | Treat ectopic pregnancy |
54324 | Male | Reconstruction of urethra | 59135 | Female | Treat ectopic pregnancy |
54326 | Male | Reconstruction of urethra | 59136 | Female | Treat ectopic pregnancy |
54328 | Male | Revise penis/urethra | 59140 | Female | Treat ectopic pregnancy |
54332 | Male | Revise penis/urethra | 59150 | Female | Treat ectopic pregnancy |
54336 | Male | Revise penis/urethra | 59151 | Female | Treat ectopic pregnancy |
54340 | Male | Secondary urethral surgery | 59160 | Female | D and c after delivery |
54344 | Male | Secondary urethral surgery | 59200 | Female | Insert cervical dilator |
54348 | Male | Secondary urethral surgery | 59300 | Female | Episiotomy or vaginal repair |
54352 | Male | Reconstruct urethra/penis | 59320 | Female | Revision of cervix |
54360 | Male | Penis plastic surgery | 59325 | Female | Revision of cervix |
54380 | Male | Repair penis | 59350 | Female | Repair of uterus |
54385 | Male | Repair penis | 59400 | Female | Obstetrical care |
54390 | Male | Repair penis and bladder | 59409 | Female | Obstetrical care |
54400 | Male | Insert semirigid prosthesis | 59410 | Female | Obstetrical care |
54401 | Male | Insert self‐contd prosthesis | 59412 | Female | Antepartum manipulation |
54405 | Male | Insert multi‐comp penis prosthesis | 59414 | Female | Deliver placenta |
54406 | Male | Remove muti‐comp penis pros | 59425 | Female | Antepartum care only |
54408 | Male | Repair multi‐comp penis prosthesis | 59426 | Female | Antepartum care only |
54410 | Male | Remove/replace penis prosthesis | 59430 | Female | Care after delivery |
54411 | Male | Remov/replc penis pros comp | 59510 | Female | Cesarean delivery |
54415 | Male | Remove self‐contd penis pros | 59514 | Female | Cesarean delivery only |
54416 | Male | Remv/repl penis contain pros | 59515 | Female | Cesarean delivery |
54417 | Male | Remv/replc penis pros compl | 59525 | Female | Remove uterus after cesarean |
54420 | Male | Revision of penis | 59610 | Female | Vbac delivery |
54430 | Male | Revision of penis | 59612 | Female | Vbac delivery only |
54435 | Male | Revision of penis | 59614 | Female | Vbac care after delivery |
54440 | Male | Repair of penis | 59618 | Female | Attempted vbac delivery |
54450 | Male | Preputial stretching | 59620 | Female | Attempted vbac delivery only |
54500 | Male | Biopsy of testis | 59622 | Female | Attempted vbac after care |
54505 | Male | Biopsy of testis | 59812 | Female | Treatment of miscarriage |
54512 | Male | Excise lesion testis | 59820 | Female | Care of miscarriage |
54520 | Male | Removal of testis | 59821 | Female | Treatment of miscarriage |
54522 | Male | Orchiectomy partial | 59830 | Female | Treat uterus infection |
54530 | Male | Removal of testis | 59840 | Female | Abortion |
54535 | Male | Extensive testis surgery | 59841 | Female | Abortion |
54550 | Male | Exploration for testis | 59850 | Female | Abortion |
54560 | Male | Exploration for testis | 59851 | Female | Abortion |
54600 | Male | Reduce testis torsion | 59852 | Female | Abortion |
54620 | Male | Suspension of testis | 59855 | Female | Abortion |
54640 | Male | Suspension of testis | 59856 | Female | Abortion |
54650 | Male | Orchiopexy (fowler‐stephens) | 59857 | Female | Abortion |
54660 | Male | Revision of testis | 59866 | Female | Abortion (mpr) |
54670 | Male | Repair testis injury | 59870 | Female | Evacuate mole of uterus |
54680 | Male | Relocation of testis(es) | 59871 | Female | Remove cerclage suture |
54690 | Male | Laparoscopy orchiectomy | 59897 | Female | Fetal invas px w/us |
54692 | Male | Laparoscopy orchiopexy | 59898 | Female | Laparo proc ob care/deliver |
54699 | Male | Laparoscope proc testis | 59899 | Female | Maternity care procedure |
54700 | Male | Drainage of scrotum | 64435 | Female | N block inj paracervical |
54800 | Male | Biopsy of epididymis | 74440 | Male | X‐ray male genital tract |
54830 | Male | Remove epididymis lesion | 74445 | Male | X‐ray examination of penis |
54840 | Male | Remove epididymis lesion | 74710 | Female | X‐ray measurement of pelvis |
54860 | Male | Removal of epididymis | 74740 | Female | X‐ray female genital tract |
54861 | Male | Removal of epididymis | 74742 | Female | X‐ray fallopian tube |
54865 | Male | Explore epididymis | 74775 | Female | X‐ray examination of perineum |
54900 | Male | Fusion of spermatic ducts | 76801 | Female | Ob us <14 weeks single fetus |
54901 | Male | Fusion of spermatic ducts | 76802 | Female | Ob us <14 weeks addl fetus |
55000 | Male | Drainage of hydrocele | 76805 | Female | Ob us >/=14 weeks sngl fetus |
55040 | Male | Removal of hydrocele | 76810 | Female | Ob us >/=14 weeks addl fetus |
55041 | Male | Removal of hydroceles | 76811 | Female | Ob us detailed sngl fetus |
55060 | Male | Repair of hydrocele | 76812 | Female | Ob us detailed addl fetus |
55100 | Male | Drainage of scrotum abscess | 76813 | Female | Ob us nuchal meas 1 gest |
55110 | Male | Explore scrotum | 76814 | Female | Ob us nuchal meas add‐on |
55120 | Male | Removal of scrotum lesion | 76815 | Female | Ob us limited fetus(s) |
55150 | Male | Removal of scrotum | 76816 | Female | Ob us follow‐up per fetus |
55175 | Male | Revision of scrotum | 76817 | Female | Transvaginal us obstetric |
55180 | Male | Revision of scrotum | 76818 | Female | Fetal biophys profile w/nst |
55200 | Male | Incision of sperm duct | 76819 | Female | Fetal biophys profile w/o nst |
55250 | Male | Removal of sperm duct(s) | 76825 | Female | Echo examination of fetal heart |
55300 | Male | Prepare sperm duct x‐ray | 76826 | Female | Echo examination of fetal heart |
55400 | Male | Repair of sperm duct | 76827 | Female | Echo examination of fetal heart |
55450 | Male | Ligation of sperm duct | 76828 | Female | Echo examination of fetal heart |
55500 | Male | Removal of hydrocele | 76830 | Female | Transvaginal us non‐ob |
55520 | Male | Removal of sperm cord lesion | 76831 | Female | Echo examination uterus |
55540 | Male | Revise hernia and sperm veins | 76941 | Female | Echo guide for transfusion |
55550 | Male | Laparo ligate spermatic vein | 76945 | Female | Echo guide villus sampling |
55559 | Male | Laparo proc spermatic cord | 76946 | Female | Echo guide for amniocentesis |
55600 | Male | Incise sperm duct pouch | 76948 | Female | Echo guide ova aspiration |
55605 | Male | Incise sperm duct pouch | 77057 | Female | Mammogram screening |
55650 | Male | Remove sperm duct pouch | 78761 | Male | Testicular imaging w/flow |
55680 | Male | Remove sperm pouch lesion | 80055 | Female | Obstetric panel |
55700 | Male | Biopsy of prostate | 81025 | Female | Urine pregnancy test |
55705 | Male | Biopsy of prostate | 81500 | Female | Onco (ovar) two proteins |
55706 | Male | Prostate saturation sampling | 81503 | Female | Onco (ovar) five proteins |
55720 | Male | Drainage of prostate abscess | 81507 | Female | Fetal aneuploidy trisom risk |
55725 | Male | Drainage of prostate abscess | 81508 | Female | Ftl cgen abnor two proteins |
55801 | Male | Removal of prostate | 81509 | Female | Ftl cgen abnor three proteins |
55810 | Male | Extensive prostate surgery | 81510 | Female | Ftl cgen abnor three anal |
55812 | Male | Extensive prostate surgery | 81511 | Female | Ftl cgen abnor four anal |
55815 | Male | Extensive prostate surgery | 81512 | Female | Ftl cgen abnor five anal |
55821 | Male | Removal of prostate | 82120 | Female | Amines vaginal fluid qual |
55831 | Male | Removal of prostate | 82143 | Female | Amniotic fluid scan |
55840 | Male | Extensive prostate surgery | 82731 | Female | Assay of fetal fibronectin |
55842 | Male | Extensive prostate surgery | 84112 | Female | Eval amniotic fluid protein |
55845 | Male | Extensive prostate surgery | 84135 | Female | Assay of pregnanediol |
55860 | Male | Surgical exposure prostate | 84138 | Female | Assay of pregnanetriol |
55862 | Male | Extensive prostate surgery | 84152 | Male | Assay of psa complexed |
55865 | Male | Extensive prostate surgery | 84153 | Male | Assay of psa total |
55866 | Male | Laparo radical prostatectomy | 84154 | Male | Assay of psa free |
55870 | Male | Electroejaculation | 84163 | Female | Pappa serum |
55873 | Male | Cryoablate prostate | 84830 | Female | Ovulation tests |
55875 | Male | Transperi needle place pros | 85460 | Female | Hemoglobin fetal |
55876 | Male | Place rt device/marker pros | 85461 | Female | Hemoglobin fetal |
55899 | Male | Genital surgery procedure | 88141 | Female | Cytopath c/v interpret |
55970 | Male | Sex transformation m to f | 88142 | Female | Cytopath c/v thin layer |
55980 | Female | Sex transformation f to m | 88143 | Female | Cytopath c/v thin layer redo |
56405 | Female | I and d of vulva/perineum | 88147 | Female | Cytopath c/v automated |
56420 | Female | Drainage of gland abscess | 88148 | Female | Cytopath c/v auto rescreen |
56440 | Female | Surgery for vulva lesion | 88150 | Female | Cytopath c/v manual |
56441 | Female | Lysis of labial lesion(s) | 88153 | Female | Cytopath c/v redo |
56442 | Female | Hymenotomy | 88154 | Female | Cytopath c/v select |
56501 | Female | Destroy vulva lesions sim | 88155 | Female | Cytopath c/v index add‐on |
56515 | Female | Destroy vulva lesion/s compl | 88164 | Female | Cytopath tbs c/v manual |
56605 | Female | Biopsy of vulva/perineum | 88165 | Female | Cytopath tbs c/v redo |
56606 | Female | Biopsy of vulva/perineum | 88166 | Female | Cytopath tbs c/v auto redo |
56620 | Female | Partial removal of vulva | 88167 | Female | Cytopath tbs c/v select |
56625 | Female | Complete removal of vulva | 88174 | Female | Cytopath c/v auto in fluid |
56630 | Female | Extensive vulva surgery | 88175 | Female | Cytopath c/v auto fluid redo |
56631 | Female | Extensive vulva surgery | 88267 | Female | Chromosome analysis placenta |
56632 | Female | Extensive vulva surgery | 88269 | Female | Chromosome analysis amniotic |
56633 | Female | Extensive vulva surgery | 89264 | Male | Identify sperm tissue |
56634 | Female | Extensive vulva surgery | 89300 | Female | Semen analysis w/huhner |
56637 | Female | Extensive vulva surgery | 89310 | Male | Semen analysis w/count |
56640 | Female | Extensive vulva surgery | 89320 | Male | Semen anal vol/count/mot |
56700 | Female | Partial removal of hymen | 89321 | Male | Semen anal sperm detection |
56805 | Female | Repair clitoris | 89329 | Male | Sperm evaluation test |
56810 | Female | Repair of perineum | 89330 | Male | Evaluation cervical mucus |
56820 | Female | Examination of vulva w/scope | 89331 | Male | Retrograde ejaculation anal |
56821 | Female | Examination/biopsy of vulva w/scope | 99500 | Female | Home visit prenatal |
57000 | Female | Exploration of vagina | 99501 | Female | Home visit postnatal |
57010 | Female | Drainage of pelvic abscess | A4261 | Female | Cervical cap contraceptive |
57020 | Female | Drainage of pelvic fluid | A4264 | Female | Intratubal occlusion device |
57022 | Female | I and d vaginal hematoma pp | A4266 | Female | Diaphragm |
57023 | Female | I and d vaginal hematoma non‐ob | A4267 | Male | Male condom |
57061 | Female | Destroy vaginal lesions simple | A4268 | Female | Female condom |
57065 | Female | Destroy vaginal lesions complex | A4269 | Female | Spermicide |
57100 | Female | Biopsy of vagina | A4281 | Female | Replacement breast pump tube |
57105 | Female | Biopsy of vagina | A4282 | Female | Replacement breast pump adpt |
57106 | Female | Remove vagina wall partial | A4283 | Female | Replacement breast pump cap |
57107 | Female | Remove vagina tissue part | A4284 | Female | Replacement breast pump shield |
57109 | Female | Vaginectomy partial w/nodes | A4285 | Female | Replacement breast pump bottle |
57110 | Female | Remove vagina wall complete | A4286 | Female | Replacement breastpump lok ring |
57111 | Female | Remove vagina tissue compl | A4326 | Male | Male external catheter |
57112 | Female | Vaginectomy w/nodes compl | A4327 | Female | Female urinary collect dev cup |
57120 | Female | Closure of vagina | A4328 | Female | Female urinary collect pouch |
57130 | Female | Remove vagina lesion | C9739 | Male | Cystoscopy prostatic imp 1‐3 |
57135 | Female | Remove vagina lesion | C9740 | Male | Cysto impl 4 or more |
57150 | Female | Treat vagina infection | E0325 | Male | Urinal male jug type |
57155 | Female | Insert uteri tandem/ovoids | E0326 | Female | Urinal female jug type |
57156 | Female | Ins vaginal brachytx device | E0602 | Female | Manual breast pump |
57160 | Female | Insert pessary/other device | E0603 | Female | Electric breast pump |
57170 | Female | Fitting of diaphragm/cap | E0604 | Female | Hosp grade elec breast pump |
57180 | Female | Treat vaginal bleeding | G0027 | Male | Semen analysis |
57200 | Female | Repair of vagina | G0101 | Female | Ca screen; pelvic/breast exam |
57210 | Female | Repair vagina/perineum | G0102 | Male | Prostate ca screening; dre |
57220 | Female | Revision of urethra | G0103 | Male | Psa screening |
57230 | Female | Repair of urethral lesion | G0123 | Female | Screen cerv/vaginal thin layer |
57240 | Female | Repair bladder and vagina | G0124 | Female | Screen c/v thin layer by md |
57250 | Female | Repair rectum and vagina | G0141 | Female | Scr c/v cyto, autosys and md |
57260 | Female | Repair of vagina | G0143 | Female | Scr c/v cyto, thin layer, rescr |
57265 | Female | Extensive repair of vagina | G0144 | Female | Scr c/v cyto, thin layer, rescr |
57267 | Female | Insert mesh/pelvic flr addon | G0145 | Female | Scr c/v cyto, thin layer, rescr |
57268 | Female | Repair of bowel bulge | G0147 | Female | Scr c/v cyto, automated sys |
57270 | Female | Repair of bowel pouch | G0148 | Female | Scr c/v cyto, autosys, rescr |
57280 | Female | Suspension of vagina | G0202 | Female | Screeningmammographydigital |
57282 | Female | Colpopexy extraperitoneal | G0416 | Male | Biopsy prostate 10–20 |
57283 | Female | Colpopexy intraperitoneal | G0417 | Male | Biopsy prostate 21–40 |
57284 | Female | Repair paravag defect open | G0418 | Male | Biopsy prostate 41–60 |
57285 | Female | Repair paravag defect vaginal | G0419 | Male | Biopsy prostate: >60 |
57287 | Female | Revise/remove sling repair | G0458 | Male | Ldr prostate brachy comp rat |
57288 | Female | Repair bladder defect | G8806 | Female | Transab or transvag us |
57289 | Female | Repair bladder and vagina | G8807 | Female | Doc reas no us |
57291 | Female | Construction of vagina | G8808 | Female | No transab or transvag us |
57292 | Female | Construct vagina with graft | G8809 | Female | Rh‐immunoglobulin order |
57295 | Female | Revise vaginal graft through vagina | G8810 | Female | Doc reas no rh‐immuno |
57296 | Female | Revise vaginal graft open abd | G8811 | Female | No rh‐immunoglobulin order |
57307 | Female | Fistula repair and colostomy | P3000 | Female | Screen pap by tech w md supv |
57308 | Female | Fistula repair transperine | P3001 | Female | Screening pap smear by phys |
57310 | Female | Repair urethrovaginal lesion | Q0091 | Female | Obtaining screen pap smear |
57311 | Female | Repair urethrovaginal lesion | S0610 | Female | Annual gynecological examina |
57320 | Female | Repair bladder‐vagina lesion | S0612 | Female | Annual gynecological examina |
57330 | Female | Repair bladder‐vagina lesion | S4005 | Female | Interim labor facility globa |
57335 | Female | Repair vagina | S4011 | Female | IVF package |
57400 | Female | Dilation of vagina | S4013 | Female | Complete GIFT case rate |
57410 | Female | Pelvic examination | S4014 | Female | Complete ZIFT case rate |
57415 | Female | Remove vaginal foreign body | S4015 | Female | Complete IVF nos case rate |
57420 | Female | Examination of vagina w/scope | S4016 | Female | Frozen IVF case rate |
57421 | Female | Examination/biopsy of vaginal w/scope | S4017 | Female | IVF canc a stim case rate |
57423 | Female | Repair paravag defect lap | S4018 | Female | F EMB trns canc case rate |
57425 | Female | Laparoscopy surg colpopexy | S4020 | Female | IVF canc a aspir case rate |
57426 | Female | Revise prosth vaginal graft lap | S4021 | Female | IVF canc p aspir case rate |
57452 | Female | Examination of cervix w/scope | S4022 | Female | Asst oocyte fert case rate |
57454 | Female | Bx/curett of cervix w/scope | S4023 | Female | Incomplete donor egg case rate |
57455 | Female | Biopsy of cervix w/scope | S4025 | Female | Donor serv IVF case rate |
57456 | Female | Endocerv curettage w/scope | S4026 | Male | Procure donor sperm |
57460 | Female | Bx of cervix w/scope leep | S4027 | Female | Store prev frozen embryos |
57461 | Female | Conz of cervix w/scope leep | S4028 | Male | Microsurg epi sperm asp |
57500 | Female | Biopsy of cervix | S4030 | Male | Sperm procure init visit |
57505 | Female | Endocervical curettage | S4031 | Male | Sperm procure subs visit |
57510 | Female | Cauterization of cervix | S4035 | Female | Stimulated IUI case rate |
57511 | Female | Cryocautery of cervix | S4037 | Female | Cryo embryo transf case rate |
57513 | Female | Laser surgery of cervix | S4040 | Female | Monit store cryo embryo 30 d |
57520 | Female | Conization of cervix | S4989 | Female | Contracept IUD |
57522 | Female | Conization of cervix | S4993 | Female | Contraceptive pills for bc |
57530 | Female | Removal of cervix | S9001 | Female | Home uterine monitor with or |
57531 | Female | Removal of cervix radical | S9436 | Female | Lamaze class |
57540 | Female | Removal of residual cervix | S9437 | Female | Childbirth refresher class |
S9438 | Female | Cesarean birth class | |||
S9439 | Female | VBAC class |
HCPCS, Healthcare Common Procedure Coding System.