1 Basic IUD coding. Z30.430 Encounter for insertion of intrauterine contraceptive device in ICD-10-CM. ... 2 Reporting contraceptive services with other services. Under some circumstances, an Evaluation and Management (E/M) services code, a procedure code, and a HCPCS code, may all be reported. 3 Additional coding guidance. ...
The insertion and/or removal of the implant are reported using one of the following CPT®* codes: 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.
Z30.430 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 Z30.430 became effective on October 1, 2021. This is the American ICD-10-CM version of Z30.430 - other international versions of ICD-10 Z30.430 may differ. Z codes represent reasons for encounters.
Z30.014 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 Z30.014 became effective on October 1, 2021. This is the American ICD-10-CM version of Z30.014 - other international versions of ICD-10 Z30.014 may differ. A type 1 excludes note is a pure excludes.
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 .
Z30. 431 Encounter for routine checking of intrauterine contraceptive device in ICD-10-CM.
ICD-10 code Z30. 430 for Encounter for insertion of intrauterine contraceptive device is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
V45.52V45. 52 - Presence of subdermal contraceptive implant | ICD-10-CM.
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.
The insertion and/or removal of IUDs are reported using one of the following CPT codes: 58300 Insertion of IUD. 58301 Removal of IUD.
411, Encounter for gynecological examination (general) (routine) with abnormal findings, or Z01. 419, Encounter for gynecological examination (general) (routine) without abnormal findings, may be used as the ICD-10-CM diagnosis code for the annual exam performed by an obstetrician–gynecologist.
J1050 Injection, medroxyprogesterone acetate, 1 mg is used to bill for the Depo- Provera drug administered. Since the description is for 1 mg, it is essential that you include 150 units on the claim to ensure appropriate reimbursement. Adjust units as needed to match dosage administered (e.g., 104 for SQ).
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.
Possible billing codes for NEXPLANONJ-CodeDefinitionJ7307Etonogestrel implant system, including implant and supplies.
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.
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 ...
If you can't see or feel the IUD or the IUD strings, a full expulsion may have taken place. 3 If this happens and you don't have a backup method of birth control, you are no longer protected against pregnancy. If you cannot see or feel your IUD strings, the next step is to call your healthcare provider.
11982 Removal, non-biodegradable drug delivery implant. 11983 Removal with reinsertion, non-biodegradable drug delivery implant.
K91.5ICD-10 code K91. 5 for Postcholecystectomy syndrome is a medical classification as listed by WHO under the range - Diseases of the digestive system .
O26.30Retained intrauterine contraceptive device in pregnancy, unspecified trimester. O26. 30 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 O26.
The 2022 edition of ICD-10-CM Z30.014 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 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.
A modifier 25 (significant, separately identifiable E/M service on the same day as a procedure or other service) is added to the E/M code to indicate that this service was significant and separately identifiable from the insertion. This indicates that two distinct services were provided: an E/M service and a procedure.
For example, if an established patient is seen for 25 minutes, including 15 minutes spent counseling, report code 99214—this code lists a “typical time” of 25 minutes. The level of history, physical examination, and medical decision making do not matter in selecting this code. Not all payers recognize time spent counseling. Providers should consult third-party payers before instituting this coding practice to ensure compliance with specific plan guidelines.
If reporting both an E/M service and a procedure, the documentation must indicate a significant, separately identifiable E/M service. The documentation must indicate either the key components (history, physical examination, and medical decision making) or time spent counseling. In order to report an evaluation and management visit based on time, more than 50% of the visit must be spent counseling the patient. When time is the determining factor for the selection of the level of service, documentation should include the following:
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:
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.
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
This article contains coding and other guidelines that reflect proper billing for insertion of an IUD (Hormone-Eluting) for Endometrial Hyperplasia.- CPT Code 58999.
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.
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: