Code Details & Principles for Z4021
Code details & principles for
Z4021
- Chapter 21 / Cosmetic Codes
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| Z4021 | Vaginoplasty | 21.0.0 Cosmetic Codes |
Unacceptable Combinations for Z4021
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Code Added |
|---|---|---|
| GA511 | Peritoneal, intestinal or sigmoid vaginoplasty for gender affirmation | Pre 2025 |
| GA512 | Penile inversion vaginoplasty for gender affirmation | Pre 2025 |
| GA513 | Distal tissue grafts for vaginoplasty for gender affirmation | Pre 2025 |
| GA514 | Vulvoplasty (creation of vulva) for gender affirmation | Pre 2025 |
| GA519 | Clitoroplasty (creation of clitoris) for gender affirmation | Pre 2025 |
| GA520 | Labiaplasty (creation of labia) 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