Depo-Provera is taken from stock and billable on the claim. How should this be coded? Z30. 013 Encounter for initial prescription of injectable contraceptive (Note: It is also acceptable to code Z30.
Z30. 9 - Encounter for contraceptive management, unspecified. ICD-10-CM.
Effective January 1, 2013, injection administration of medroxyprogesterone acetate (Depo-Provera) should be reported using HCPCS code J1050 (Injection, medroxyprogesterone acetate, 1 mg).
2022 ICD-10-CM Diagnosis Code Z30. 011: Encounter for initial prescription of contraceptive pills.
Encounter for contraceptive management2022 ICD-10-CM Diagnosis Code Z30: Encounter for contraceptive management.
Sterilization means any medical procedure, treatment or operation for the sole purpose of rendering an individual permanently incapable of reproducing and not related to the repair of a damaged/dysfunctional body part.
Codes 99401-99404 are reported when the entire encounter is for preventive medicine counseling (contraceptive and/or STI). The diagnosis code is Z30. 09 (encounter for other general contraception counseling).
CPT® code 96372: Injection of drug/substance under skin or into muscle.
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.
The contraceptive injection contains the hormone progestin. Depo-Provera is a well-known brand name for medroxyprogesterone acetate, a contraceptive injection that contains the hormone progestin. Depo-Provera is given as an injection every three months.
When billing for injectable drugs use a HCPCS code to represent the drug. For example, Depo-Provera (150 mg, for contraceptive use) would be billed using the following codes. J1055: Injection; medroxprogesterone acetate, 150 mg.
ICD-10 Code for Encounter for surveillance of contraceptive pills- Z30. 41- Codify by AAPC. Factors influencing health status and contact with health services. Persons encountering health services in circumstances related to reproduction.