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The procedure described by CPT® Code 56805 refers to clitoroplasty performed for individuals with an intersex state. An intersex state is a medical condition characterized by the presence of both male and female anatomical features, which complicates the determination of gender based solely on external genitalia. This condition encompasses various forms, including true hermaphroditism and both female and male pseudohermaphroditism. True hermaphrodites possess both ovarian and testicular tissue, resulting in mixed male and female sex organs. In contrast, a female pseudohermaphrodite is genetically female but has external genitalia that resemble male structures, such as a penis. Conversely, a male pseudohermaphrodite is genetically male but exhibits underdeveloped external genitalia. Clitoroplasty is a surgical intervention typically indicated for true hermaphrodites who identify as female or for female pseudohermaphrodites. The procedure involves reconstructive surgery aimed at modifying the external genitalia, specifically reducing the size of an enlarged clitoris or a small penis to create a more typical appearance of a clitoris. During this surgical process, the physician prioritizes the preservation of neurovascular function to maintain sensitivity and overall sexual health.
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