icd 10 code for depo provera injection

What is the CPT for Depo?

Jan 02, 2016 · There are two codes for injectable contraceptives. Z30.09 is for counseling and advice, this is not the one you would use for the encounter for the injection.

What are the billing codes for Depo Provera?

Oct 01, 2021 · Encounter for surveillance of injectable contraceptive. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code POA Exempt. Z30.42 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z30.42 became effective on October 1, 2021.

How to order Depo Provera?

Air embolism fol infusion, transfuse and theraputc injection. ICD-10-CM Diagnosis Code T80.0. Air embolism following infusion, transfusion and therapeutic injection. 2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code. ICD-10-CM Diagnosis Code T80.29.

What is the CPT code for Depo injection?

ICD-10 CM Codes Method Procedure / Supply Codes ICD-10 Description Oral Contraceptives E/M /S4993 Z30.011 Initiate OC Z30.41 Surveillance of OC (Includes refills) Depo Provera E/M / injection / J1050 Z30.13 Initial prescription of injectable contraceptive Z30.42 Surveillance of injectable contraceptive Emergency Contraception E/M / check with payer for code

What is the ICD 10 code for injection?

Other complications following infusion, transfusion and therapeutic injection, initial encounter. T80. 89XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

How do you code the depo shot?

Effective January 1, 2013, injection administration of medroxyprogesterone acetate (Depo-Provera) should be reported using HCPCS code J1050 (Injection, medroxyprogesterone acetate, 1 mg).

What is Z30 42 code?

Encounter for surveillance of injectable contraceptive42: Encounter for surveillance of injectable contraceptive.

Can you bill 96372 with J1050?

In these cases, the provider should NOT bill J1050 on the claim since they were not supplying the medication. However, CPT 96372 with the appropriate diagnosis and modifiers may be billed for the administration services.

What is CPT code J1050?

HCPCS code J1050 for Injection, medroxyprogesterone acetate, 1 mg as maintained by CMS falls under Drugs, Administered by Injection .

What is CPT code J1030?

“ HCPCS code J1030 is defined as “Injection, methylprednisolone acetate, 40 mg.”Nov 10, 2016

What is Encounter for procreative management?

ICD-10 code Z31 for Encounter for procreative management is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is Phexxi?

Phexxi is a new non-hormonal birth control method. Phexxi is a prescription vaginal gel that prevents pregnancy.

What is Z30 09?

2022 ICD-10-CM Diagnosis Code Z30. 09: Encounter for other general counseling and advice on contraception.

What is the CPT code for Depo Medrol injection?

The CPT codes to report for the procedures is 20611 (Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting). Don't forget to report CPT code J1030 for the 40mg of Depo-Medrol.Jun 20, 2019

Does J1050 need modifier?

Procedure code J1050 will require the use of a modifier in order for Medicaid to identify when the injection is for contraceptive use versus non-contraceptive use. Reimbursement Amount: The reimbursement rate for J1050 is $0.20 per unit (1mg).Feb 11, 2013

Who can use Depo-Provera?

Your health care provider might recommend Depo-Provera if: You don't want to take a birth control pill every day. You want or need to avoid using estrogen. You have health problems such as anemia, seizures, sickle cell disease, endometriosis or uterine fibroids.Feb 22, 2022

What is the code for rhogamand 17p?

If RhoGamand 17P are administered during a routine prenatal visit, then the agency may bill the therapeutic injection code (96372) and the HCPCS code for RhoGam[RhoGam(J2790-full dose or J2788 -partial dose) or 17P CPT code for Makena (Q9986) –Brand new guidance as of 07/2017 or CPT code for Compound (Generic) Q9985 –Brand new guidance as of 07/2017

How long does it take for a tubal ligation to return to the LHD?

Patient who received a bilateral tubal ligation at the time of delivery returns to the LHD within 60 days of delivery for her postpartum visit in the Maternal Health (MH) clinic.There is no contractual arrangement for the LHD to bill for the delivery.Therefore, the LHD bills 59430 for the postpartum package and S0281 for the PMH postpartum incentive, along with diagnosis code Z39.2.(AF modifier no longer required –do not use or you will not be paid).Service must be billed under the rendering physician name on the Pregnancy Medical Home contract with Community Care of NC (CCNC).

What is a PMH?

Pregnancy Medical Home (PMH) services are defined as managed care services to provide obstetric care to pregnant Medicaid beneficiaries with the goal of improving the quality of maternity care, improving birth outcomes, and providing continuity of care.Remember that PMH services must be billed under a rendering Physician or Advanced Practice Practitioner identified on the CCNC contract.

When should a low risk pregnancy be billed with a package code?

If there was no pre-defined high-risk diagnosis, then the termination of pregnancy date should be used as the end date/delivery date.This low risk pregnancy may be billed with a package code if four or more visits were completed before the termination.If less than four visits were provided an E/M code can be billed for each visit.

Can 17P be billed to a patient?

For LHDs that do not provide prenatal care or are not the assigned PMH, but administer 17P by physician order, services delivered may be billed.The 17P medication cannot be billed to the patient or third-party payor if received free by the LHD.Only bill for 17P if the agency is purchasing the medication.

What is the code for behavior change?

Behavior Change Interventions: 99401-99412 for patients who already have a behavior often considered an illness, such as substance use disorder. Preventive Medicine: 99381-99387; 99391-99397 for adults, children and infants Codes based on age of patient and whether new/established.

What is the New Jersey Doctor Patient Alliance?

The New Jersey Doctor-Patient Alliance (NJDPA) is a Watchdog Organization that represents 350 diverse health care providers, made up of independent Physicians and Chiropractors. The NJDPA is dedicated to preserving and supporting the most critical relationship in health care; the doctor patient relationship.

Can self-insured plans be subject to federal mandates?

State and Federal mandates ONLYapply to some types of insurance. State laws do not regulate self-insured plans, so they may or may not be subject to federal mandates. Employers may exercise a religious exemption/accommodation allowing them to withhold some or all contraceptive coverage for their employees.

Does A.S. smoke?

A.S. is sexually active and does not want to become pregnant. A.S. smokes one pack of cigarettes daily, has a BMI of 28, and is generally sedentary. In the visit, you discuss lifestyle modification, smoking cessation, healthy diet, and review goals for contraception with A.S.

Does New Jersey require birth control?

New Jersey law requires health plans sold in the state to cover a set of mandated health benefits, among these are prescription female contraceptives. Including, but not limited to, birth control pills, implanted devices, and diaphragms, at no cost to the patient.