Code Details & Principles for GA522
Code details & principles for
GA522
- Chapter 22 / Gender Affirmation
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| GA522 | Urethroplasty (creation of urethra) for gender affirmation | 22.0.0 Gender Affirmation |
Unacceptable Combinations for GA522
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| M3710 | Cystourethroplasty (including cystoscopy) | 2011-03-11 |
| M4510 | Diagnostic endoscopic examination of bladder (flexible cystoscopy) including any biopsy | 2014-06-17 |
| M7200 | Urethrectomy | 2010-01-20 |
| M7280 | Urethral valve resection | 2010-01-20 |
| M7312 | Repair of penile/perineal hypospadias | 2010-01-20 |
| M7313 | Repair of penile shaft hypospadias | 2010-01-20 |
| M7314 | Repair of distal hypospadias | 2010-01-20 |
| M7316 | Complex secondary repair of hypospadias | 2010-01-20 |
| M7320 | Repair of epispadias | 2010-01-20 |
| M7330 | Closure of fistula of urethra (including cystoscopy) | 2011-03-11 |
| M7332 | Closure of fistula of urethra after hypospadias | 2010-01-20 |
| M7360 | Simple urethroplasty, eg primary repair, anterior urethra (including cystoscopy) | 2014-02-14 |
| M7361 | Complex urethroplasty, eg revision surgery of the anterior urethra, posterior urethra, +/- grafting (including cystoscopy) | 2014-02-14 |
| M7700 | Diagnostic endoscopic examination of urethra (as sole procedure) (including cystoscopy) | 2010-06-14 |
| M7920 | Dilatation of urethra (including cystoscopy) | 2010-01-20 |
| M7940 | Internal urethrotomy (including cystoscopy +/- dilation) | 2010-01-20 |
| M8120 | Meatoplasty | 2010-01-20 |
| M8130 | External meatotomy of urethral orifice | 2010-01-20 |
| P2110 | Partial removal of vaginal mesh/tape with reconstruction of vagina and/or urethra, including cystoscopy and/or proctoscopy | 2014-10-02 |
| P2120 | Total removal of vaginal mesh/tape with reconstruction of vagina and/or urethra, including cystoscopy and/or proctoscopy | 2014-10-02 |
| S3624 | <p>Full thickness graft, head, neck, hands & genitalia - up to 9cm2 in area</p> | 2011-03-11 |
| S3625 | <p>Full thickness graft, head, neck, hands & genitalia - each additional 16cm2 in area</p> | 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