Code Details & Principles for GA516
Code details & principles for
GA516
- Chapter 22 / Gender Affirmation
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| GA516 | Orchidectomy (removal of testes) for gender affirmation - unilateral | 22.0.0 Gender Affirmation |
Unacceptable Combinations for GA516
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| GA515 | Orchidectomy (removal of testes) for gender affirmation - bilateral | 2024-10-08 |
| N0500 | Bilateral excision of testes | 2010-01-20 |
| N0630 | Laparoscopic orchidectomy | 2010-01-20 |
| N0680 | Orchidectomy and excision of spermatic cord (+/- insertion of prosthesis) | 2011-08-03 |
| N0920 | Orchiopexy | 2010-01-20 |
| N1000 | Prosthesis of testis (insertion or removal) | 2010-01-20 |
| N1100 | Correction of hydrocele(s) - unilateral | 2010-01-20 |
| N1320 | Fixation of testis | 2010-01-20 |
| N1340 | Biopsy of testis | 2010-01-20 |
| N1350 | Exploration of testis (including biopsy) | 2010-01-20 |
Coding Principles
These coding principles set out how the authors intend that the codes and narratives within the CCSD Schedule are interpreted and used. The outputs are available to be used by all individual insurers and providers including CCSD and non-CCSD members. Please note that:
- The CCSD Group does not discuss nor determine classifcations, reimbursement or fees - all insurers will have their own view on these matters
- The inclusion of a procedure code and/or its associated coding principles in the CCSD Schedule does not necessarily mean that it is endorsed by all members of the CCSD Group and codes may or may not be included in individual insurers' own Schedules or covered
- The coding principles are non-exhaustive guidelines only - each individual insurer may choose whether or not to adopt an individual combination of codes in practice and you will need to contact the insurer for further information