Encounter for insertion of intrauterine contraceptive device. Z30.430 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 Z30.430 became effective on October 1, 2018.
Why ICD-10 codes are important
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The insertion and/or removal of IUDs are reported using one of the following CPT codes:58300 Insertion of IUD.58301 Removal of IUD.
Z30.431Z30. 431 - Encounter for routine checking of intrauterine contraceptive device | ICD-10-CM.
T83.39XAICD-10-CM Code for Other mechanical complication of intrauterine contraceptive device, initial encounter T83. 39XA.
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.
11981Etonogestrel implant system, including implant and supplies....Possible billing codes for NEXPLANON.Possible CPT ® Administration CodesDefinition11981Insertion, non-biodegradable drug delivery implant.2 more rows
11981 Insertion, non-biodegradable drug delivery implant.
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 .
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.
58300, 58301-51 or 59 Z30. 433 Encounter for Removal and Re-insertion of IUD (Note: Add Modifier 51 to the lesser procedure to ensure accurate payment - certain payers may require Modifier 59 instead of 51.)
Do not bill an E/M for the visit when the patient returns to the office to have the IUD inserted. If, on the other hand, the patient presented for a discussion about contraception, and at that visit, it was decided than an IUD was the right choice for her, and no pre-authorization was required, both can be billed.
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 .
Proprietary Laboratory Analyses (PLA) Codes are an addition to the CPT® code set approved by the AMA CPT® Editorial Panel. They are alpha-numeric CPT codes with a corresponding descriptor for labs or manufacturers that want to more specifically identify their test.
Current Procedural Terminology (CPT®) modifier 53 is used due to certain situations when a physician or other qualified health care professional elects to terminate a surgical or medical diagnostic procedure for extenuating circumstances when the well-being of the patient is at risk.
Z30.432Z30. 432 Encounter for removal of intrauterine contraceptive device in ICD-10-CM. Z30. 433 Encounter for removal and reinsertion of intrauterine contraceptive device in ICD-10-CM.
Modifier 51 Multiple Procedures indicates that multiple procedures were performed at the same session. It applies to: Different procedures performed at the same session. A single procedure performed multiple times at different sites. A single procedure performed multiple times at the same site.
Because of the Affordable Care Act (aka Obamacare), most health insurance plans must cover all doctor's visits related to birth control, including IUD removal.