55970 Sex transformation m to f
Also known as: Male-to-female transition surgery, Vaginoplasty
Surgical procedure for sex transformation from male to female. Involves construction of female external and internal genitalia.
In Plain Language
Sex reassignment surgery; Transition surgery from male to female
Clinical Context
Performed in patients with gender dysphoria who have completed psychological evaluation and hormone therapy. Typically includes vaginoplasty, clitoroplasty, and vulvaplasty.
RVU Information
CPT 55970 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the Surgery category, 3% of codes share this characteristic.
Specialties
Frequently Asked Questions
What is CPT code 55970?
CPT 55970 (Sex transformation m to f) is a Surgery code. Surgical procedure for sex transformation from male to female. Involves construction of female external and internal genitalia.
What is the wRVU value for CPT 55970?
The work RVU for CPT 55970 is 0.00. This code is primarily used by Plastic and Reconstructive Surgery, Urology, Gender Medicine.
When is CPT 55970 used?
Performed in patients with gender dysphoria who have completed psychological evaluation and hormone therapy. Typically includes vaginoplasty, clitoroplasty, and vulvaplasty.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.