Wiki Micro TESE/TESA Sperm Extraction

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kimgreen

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Hi!

I work for a fertiltiy clinic and we recently added a urologist to our practice. He will be performing TESE and TESA procedures on male patients to extract sperm. Does anyone have the coding down for this? I'm worried we are missing out on reimbursement.

This is what we have:
TESE (Testis Sperm Extraction) - 54505, 69990
TESA (aspriation) - 55899, 69990

Can we also bill 89257, 89264, 89335?
Are we missing anything? Are the codes correct?

Thanks!!
 
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This what we have in place, as for the 89257, 89264, 89335. These 8xxxx codes are for pathology

Procedure(s)CPT Code(s)
Excision of varicocele or ligation of spermatic veins for varicocele55530
Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair55540
Biopsy of testis, needle54500
Biopsy of testis, incisional54505
Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure)69990- (List separately in addition to code for primary procedure)
CPT code for vasectomy reversal and sperm aspiration
Vasovasostomy55400
Epididymovasostomy (unilateral)54900
Epididymovasosotmy (bilateral)54901
Testicular sperm aspiration- (TESA)53899-(unlisted code)
Microspopic Epididymal Sperm Aspiration- (MESA)55899-(unlisted code)
Percutaneous epididymal sperm aspiration-(PESA)55899-(unlisted code)
 
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daniel said:
This what we have in place, as for the 89257, 89264, 89335. These 8xxxx codes are for pathology

Procedure(s)CPT Code(s)
Excision of varicocele or ligation of spermatic veins for varicocele55530
Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair55540
Biopsy of testis, needle54500
Biopsy of testis, incisional54505
Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure)69990- (List separately in addition to code for primary procedure)
CPT code for vasectomy reversal and sperm aspiration
Vasovasostomy55400
Epididymovasostomy (unilateral)54900
Epididymovasosotmy (bilateral)54901
Testicular sperm aspiration- (TESA)53899-(unlisted code)
Microspopic Epididymal Sperm Aspiration- (MESA)55899-(unlisted code)
Percutaneous epididymal sperm aspiration-(PESA)55899-(unlisted code)
Click to expand...
Hi Daniel, I work with Wellstar Health System in Metro Atlanta. We have a new provider starting this week from Seattle. He performs the procedures you describe above. This a completely new world for me as none of the other 40+ Urology providers do this type of work. Would you please give me the comparable codes that you use for the TESA - MESA - PESA? Thank you so much for your invaluable advice. Robin :)
 
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ROBINHB said:
Hi Daniel, I work with Wellstar Health System in Metro Atlanta. We have a new provider starting this week from Seattle. He performs the procedures you describe above. This a completely new world for me as none of the other 40+ Urology providers do this type of work. Would you please give me the comparable codes that you use for the TESA - MESA - PESA? Thank you so much for your invaluable advice. Robin :)
Click to expand...
54865
 
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