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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]).
You cannot report the laminectomy CPT codes like 63003 (Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy [eg, spinal stenosis], 1 or 2 vertebral segments; thoracic) with 63655 at the similar level.n case there is documentation for a skull base approach, after that you would pair the suitable approach code for the location of the neoplasm (anterior v. middle fossa, intradural v. extradural) with the definitive resection code of the similar anatomical site.