|
5.3.8.4 Vasectomy
Procedure code 55250 may be reimbursed for any sterilization procedure performed on a male by a family planning agency using Title V, X, XIX, or XX. The following reimbursement for procedure code 55250 includes preoperative, intra-operative, and postoperative services by all parties involved (i.e., physician, anesthesiologist, facility, laboratory, and so on.):
Vasectomies are considered to be permanent, once-per-lifetime procedures. If the claim is denied indicating a vasectomy procedure has already been reimbursed for the client, the provider may appeal with documentation that supports the medical necessity for the repeat sterilization.
|
