Wiki Micro TESE/TESA Sperm Extraction

[kimgreen]

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!!

 

[daniel]

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 varicocele	55530
Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair	55540
Biopsy of testis, needle	54500
Biopsy of testis, incisional	54505
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
Vasovasostomy	55400
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)

 

[ROBINHB]

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 varicocele	55530
Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair	55540
Biopsy of testis, needle	54500
Biopsy of testis, incisional	54505
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
Vasovasostomy	55400
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)

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

 

[daniel]

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

54865

 

[Lindagross1]

look for HCPCS S4030, S4031

 

[toria11]

54865

54865 is still the comparable code you are using for MESA?

 

[daniel]

yes

 

[toria11]

yes

Thanks. Do you think it would also be appropriate to bill 88172 if the physician checks the sample for adequacy before continuing to obtain samples?

 

[daniel]

That I don't know.

 

[lscire722]

hello,
can anyone provide pricing for selfpay procedures for MESA and PESA with breakdown by service?
Professional charge, lab charge, anesthesia and facility fees?