Encounter for surveillance of implantable subdermal contraceptive. Z30.46 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM Z30.46 became effective on October 1, 2018.
Basic contraceptive implant coding. The insertion and/or removal of the implant are reported using one of the following CPT®* codes: 11981 Insertion, non-biodegradable drug delivery implant. 11982 Removal, non-biodegradable drug delivery implant.
The following codes can be used when inserting and removing contraceptive implants in an outpatient setting: ICD-10 Diagnosis Codes Z30.018 Encounter for initial prescription of other contraceptives (includes implant) Z30.49 Encounter for surveillance of other contraceptives (includes removal, checking, reinsertion of implant)
Basic IUD coding. V25.12 Removal of intrauterine contraceptive device or Z30.432 Encounter for removal of intrauterine contraceptive device in ICD-10-CM. V25.13 Removal and reinsertion of intrauterine contraceptive device or Z30.433 Encounter for removal and reinsertion of intrauterine contraceptive device in ICD-10-CM.
The insertion and/or removal of the implant are reported using one of the following CPT (Current Procedural Terminology) codes:11981 Insertion, non-biodegradable drug delivery implant.11982 Removal, non-biodegradable drug delivery implant.11983 Removal with reinsertion, non-biodegradable drug delivery implant.
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 .
ForwardHealth continues to reimburse providers for CPT procedure code 11976 (Removal, implantable contraceptive capsules) for the removal of implants such as Norplant.
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.
11983Etonogestrel implant system, including implant and supplies....Possible billing codes for NEXPLANON.Possible CPT ® Administration CodesDefinition11983Removal, with reinsertion, non-biodegradable drug delivery implant.2 more rows
Encounter for initial prescription of implantable subdermal contraceptiveICD-10 code Z30. 017 for Encounter for initial prescription of implantable subdermal contraceptive is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
ICD-10 Code for Encounter for insertion of intrauterine contraceptive device- Z30. 430- Codify by AAPC.
The following table lists all allowable diagnosis codes related to ICD (International Classification of Diseases) contraceptive management for Family Planning Only Services....Diagnosis Codes.Diagnosis CodeDescriptionZ30.9Encounter for contraceptive management, unspecified24 more rows
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 ...
Implanon (etonogestrel) and Norplant System (levonorgestrel) are contraceptive implants used to prevent pregnancy. Implanon is used to prevent pregnancy for up to 3 years, and Norplant is used to prevent pregnancy for up to 5 years. The brand name Norplant is discontinued.
The modifier 51 (multiple procedures) is added to CPT code 58300 to indicate the additional procedure (IUD insertion) performed at the same session as the primary procedure (delivery). The diagnosis code is Z30. 430 (insertion of intrauterine contraceptive device).
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 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:
They may not be reported prior to effective date. The CPT procedure codes do not include the cost of the supply. Report the supply separately using a HCPCS (Healthcare Procedural Coding System) code: J7307 Etonogestrel [contraceptive] implant system, including implant and supplies.
Registered nurses (RNs) can administer or dispense hormonal contraceptives (OCs, patch, vaginal ring, injectable contraceptive and emergency contraceptive pills) pursuant to the California Business and Professions code, Chapter 6, Section 2725.2. If performed by an RN, who has completed the required training, E&M CPT codes 99201, 99211 or 99212 must be billed with modifier TD.
Family planning services are those relevant to the use of contraceptive methods and include specified reproductive health screening tests. These include the U.S. Food and Drug Administration (FDA) approved contraceptive methods, emergency contraceptives, office visits and interventions for the management of complications that arise from the use of covered contraceptive methods.
Medical record and chart documentation must reflect the clinical rationale for providing, ordering or deferring services for clients, including, but not limited to, client assessment, diagnosis, treatment and follow-up.
Evaluation and Management (E&M) office visits are rendered in an enrolled Family PACT provider’s office, clinic or other ambulatory facility, and in offices of non-Family PACT Medi-Cal providers who deliver services upon referral from a Family PACT provider. E&M services must be performed by a clinician, although the computation of the E&M level of the visit may also include services provided by non-clinician counselors. Selection of the appropriate E&M code level is determined by:
Modifier KX may be used to facilitate claims processing in instances when the patient’s gender conflicts with the billed procedure code. The patient’s medical record must support medical necessity for the procedure.
TAR is required for services needed to evaluate and manage a complication, including office visits, procedures, facility use, and laboratory, pharmacy and radiology services, unless stated otherwise in the PPBI manual.
Section 2303 (a)(3) of the Patient Protection and Affordable Care Act (ACA), specifies that benefits of the federally supported state family planning programs are limited to “family planning services and supplies” as well as family planning-related services such as “medical diagnosis and treatment services that are provided pursuant to family planning service in a family planning setting.”