V45.52V45. 52 - Presence of subdermal contraceptive implant | ICD-10-CM.
Encounter for surveillance of other contraceptivesICD-10 code Z30. 49 for Encounter for surveillance of other contraceptives is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
11981Possible billing codes for NEXPLANONPossible CPT ® Administration CodesDefinition11981Insertion, non-biodegradable drug delivery implant.11982Removal, non-biodegradable drug delivery implant.11983Removal, with reinsertion, non-biodegradable drug delivery implant.
Long term (current) use of hormonal contraceptives Z79. 3 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 Z79. 3 became effective on October 1, 2021.
Z30. 430 Encounter for insertion of intrauterine contraceptive device in ICD-10-CM.
Encounter for surveillance of implantable subdermal contraceptiveICD-10 code Z30. 46 for Encounter for surveillance of implantable subdermal contraceptive is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Nexplanon is a single-rod subdermal contraceptive implant containing a total of 68 mg of etonogestrel (a progestin being the active metabolite of desogestrel derived from the 19- nortestosterone), which is released daily at low doses (25–70 μg) through a rate-limiting membrane, allowing a contraceptive effect lasting ...
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 11983 Removal and re-insertion of single non-biodegradable implant.
ICD-10 Code for Encounter for initial prescription of contraceptive pills- Z30. 011- Codify by AAPC.
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.
ICD-10-CM Code for Long term (current) use of hormonal contraceptives Z79. 3.
The code 11976 (Removal, implantable contraceptive capsules) remains a valid CPT code, however, because some patients still have Norplant systems that an ob-gyn will need to be remove.
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies.
Discontinued IUD Insertion A modifier 53 (discontinued procedure) is added to code 58300 (insertion of IUD) (i.e., 58300-53). This modifier is used when a procedure is started but discontinued and no other procedure is performed during the visit.
00052433001 00052027401Contraceptive ImplantCPT CodeDescription of what you didHCPCS – J CodeBrand NameNDC NumberJ7307Nexplanon00052433001 00052027401bICD-10 CMDescription of why you did the insertionZ30.017Encounter for initial prescription of implantable subdermal implant3 more rows
The 2022 edition of ICD-10-CM Z30.430 became effective on October 1, 2021.
Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
The diagnostic coding will vary, but usually will be selected from the Z30.01- (encounter for initial prescription of contraceptives) and Z30.4- (encounter for surveillance of contraceptives) series in ICD-10- CM. These codes are:
The contraceptive implant is a single-rod etonogestrel- releasing contraceptive device inserted under the skin of the upper arm. The insertion and/or removal of the implant are reported using one of the following CPT (Current Procedural Terminology) codes:
CPT procedure codes do not include the cost of the supply. Report the supply separately using a HCPCS (Healthcare Procedural Coding System) code:
The diagnostic coding will vary, but usually will be selected from the Encounter for Contraceptive Management code series - V25 in ICD-9-CM or Z30 in ICD-10-CM. These codes are:
Note: ICD-10 codes are scheduled to go into effect October 1, 2015. They may not be reported prior to effective date.
If discussion of contraceptive options takes place during the same encounter as a procedure, such as insertion of a contraceptive implant or IUD, it may or may not be appropriate to report both an E/M services code and the procedure code:
CPT is a registered trademark of the American Medical Association. Applicable FARS/DFARS Restrictions Apply to Government Use. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use.
If the discussion takes place during a preventive visit (99381– 99387 or 99391–99397), it is included in the Preventive Medicine code. The discussion is not reported separately.
If the clinician and patient discuss a number of contraceptive options, decide on a method, and then an implant or IUD is inserted during the visit, an E/M service may be reported, depending on the documentation.
Unlike the CPT codes for IUD procedures, there is a unique CPT code 11983 that is used to describe the removal and reinsertion of the contraceptive implant. Include the ICD-10 code Z30.46 (encounter for surveillance of implantable subdermal contraceptive) which supports the routine checking, removal, or reinsertion of the implant.
There is NOT one singular code that describes an IUD removal and reinsertion. It is essential that you code and bill BOTH the CPT code 58301 for the IUD removal and 58300 for the IUD reinsertion with a modifier 51 on the second procedure in order to be paid appropriately for the services. Some payers require modifier 59, instead of 51, so ensure your billers track these requirements and use the correct modifier. Use the unique ICD-10 diagnosis code Z30.433 (encounter for IUD reinsertion) to support both CPT codes.
Do NOT code BOTH a 99211 and a 96372 on the same visit for a Depo-Provera injection. The services will typically not pay even with a modifier 25 attached.