Code Details & Principles for GA508
Code details & principles for
GA508
- Chapter 22 / Gender Affirmation
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| GA508 | Phalloplasty stage 3 with testicular implant for gender affirmation | 22.0.0 Gender Affirmation |
Unacceptable Combinations for GA508
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Code Added |
|---|---|---|
| GA500 | Phalloplasty stage 1 (using radial forearm tissue) for gender affirmation | Pre 2025 |
| GA501 | Phalloplasty stage 1 (using anterolateral thigh tissue) for gender affirmation | Pre 2025 |
| GA502 | Phalloplasty stage 1 (using latissimus dorsi tissue) for gender affirmation | Pre 2025 |
| GA503 | Phalloplasty stage 2 (using pedicelled urethral reconstruction) for gender affirmation (including cystoscopy) | Pre 2025 |
| GA504 | Phalloplasty stage 2 (using non-pedicelled urethral reconstruction) for gender affirmation (including cystoscopy) | Pre 2025 |
| GA505 | Phalloplasty stage 3 with penile implant for gender affirmation | Pre 2025 |
| GA506 | Phalloplasty stage 3 with testicular and penile implant for gender affirmation | Pre 2025 |
| GA507 | Phalloplasty stage 3 with no implantations for gender affirmation | Pre 2025 |
| GA509 | Repair of resultant defect following phalloplasty for gender affirmation | Pre 2025 |
| GA521 | Placement of penile and testicular prostheses for gender affirmation | Pre 2025 |
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