Encounter for surveillance of injectable contraceptive 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.
Z30.0ICD-10 Code for Encounter for general counseling and advice on contraception- Z30. 0- Codify by AAPC.
Effective January 1, 2013, injection administration of medroxyprogesterone acetate (Depo-Provera) should be reported using HCPCS code J1050 (Injection, medroxyprogesterone acetate, 1 mg).
Encounter for contraceptive management2022 ICD-10-CM Diagnosis Code Z30: Encounter for contraceptive management.
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).
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.
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.
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).
Diagnosis CodesDiagnosis CodeDescriptionZ30.011Encounter for initial prescription of contraceptive pillsZ30.012Encounter for prescription of emergency contraceptionZ30.013Encounter for initial prescription of injectable contraceptiveZ30.014Encounter for initial prescription of intrauterine contraceptive device21 more rows
icd10 - Z3009: Encounter for other general counseling and advice on contraception.
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.