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Linking Is Critical. The ICD-9 Code most appropriate for the prevasectomy examination-whether it's a consultation or a new/established patient visit-is ICD-9 V25.09 (Encounter for contraceptive management; general counseling and advice; other). But you should also link V25.2 (... sterilization) to the vasectomy procedure (55250, Vasectomy, unilateral or bilateral [separate procedure], including postoperative semen examination[s]).
CPT-4 denotes the circumcision codes as those between 54150 and 54163; ICD-9 denotes the circumcision as code 64.0, code 64.49 as a repair of the penis, and V64.93 as a division of penile adhesions. As we transition to ICD-10PCS, I have cross coded the ICD-9 procedure codes in the table below.