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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]).
The uterus is then removed through the vagina. The final code set is for Total Laparoscopic Hysterectomy (TLH), indicated by CPT codes 58570 to 58573. Although it is not in numerical sequence with TLH, you would also include laparoscopic radical hysterectomy with pelvic lymphadenectomy (CPT 58548) in this code set.