icd-10 code for insertion of subdermal contraceptive implant

by Mr. Uriel Hauck 3 min read

Report the supply separately using a HCPCS (Healthcare Procedural Coding System) code: J7307 Etonogestrel (contraceptive) implant system, including implant and supplies.

What is the ICD 10 code for insertion of Implantable contraceptives?

Oct 01, 2021 · Z30.46 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Enctr srvlnc implantable subdermal contraceptive; The 2022 edition of ICD-10-CM Z30.46 became effective on October 1, 2021.

What is the ICD 10 code for subdermal contraceptive?

Oct 01, 2021 · Z30.017 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Enctr for init prescription of implntbl subdermal contracep ... Z30.017 Encounter for initial prescription of implantable subdermal contraceptive Z30.018 Encounter for initial prescription of other contraceptives ...

What is the CPT code for insertion and removal of implants?

Basic Contraceptive Implant Coding 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: Z30.017 Encounter for initial prescription of implantable subdermal contraceptive

What is the outpatient procedure code for a drug delivery implant?

Nov 20, 2014 · Family planning payer (s) dealing with challenge of mapping V25.5 Insertion of implantable subdermal contraceptive as ICD-10 failed to include a code. This is different than Z30.49 which is surveillance of other contraceptives.

What is the ICD-10 code for presence of subdermal contraceptive implant?

V45.52
V45. 52 - Presence of subdermal contraceptive implant. ICD-10-CM.

What is the ICD-10 for nexplanon insertion?

Z30. 430 Encounter for insertion of intrauterine contraceptive device in ICD-10-CM.

What is diagnosis code Z30 49?

Encounter for surveillance of other contraceptives
2022 ICD-10-CM Diagnosis Code Z30. 49: Encounter for surveillance of other contraceptives.

Which CPT code is used for the insertion of nexplanon?

11981
Possible billing codes for NEXPLANON
Possible CPT ® Administration CodesDefinition
11981Insertion, non-biodegradable drug delivery implant.
11982Removal, non-biodegradable drug delivery implant.
11983Removal, with reinsertion, non-biodegradable drug delivery implant.

Is nexplanon a subdermal implant?

Nexplanon is a long-acting hormonal contraceptive. A single implant is inserted subdermally and can be left in place for three years. Remove the implant no later than three years after the date of insertion. The user should be informed that she can request the removal of the implant at any time.

What is DX code Z30 017?

Encounter for initial prescription of implantable subdermal contraceptive
2022 ICD-10-CM Diagnosis Code Z30. 017: Encounter for initial prescription of implantable subdermal contraceptive.

What is diagnosis code Z30 46?

Encounter for surveillance of implantable subdermal contraceptive
46: Encounter for surveillance of implantable subdermal contraceptive.

How do you bill a nexplanon insertion?

The insertion and/or removal of the implant are reported using one of the following CPT (Current Procedural Terminology) codes:
  1. 11981 Insertion, non-biodegradable drug delivery implant.
  2. 11982 Removal, non-biodegradable drug delivery implant.
  3. 11983 Removal with reinsertion, non-biodegradable drug delivery implant.

What is the CPT code for IUD insertion?

58300
The insertion and/or removal of IUDs are reported using one of the following CPT codes: 58300 Insertion of IUD. 58301 Removal of IUD.

What is the NDC number for nexplanon?

NDC 0052-4330 Subcutaneous Implant Nexplanon Drug Codes, Packaging, Active Ingredients.

What is the CPT code for removal and insertion of IUD?

58301
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.

Is it appropriate to report both an E/M code and the procedure code?

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:

Does CPT include cost of supply?

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.

Is CPT a trademark?

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.

How to report E/M?

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: 1 The total length of time spent by the physician with the patient, 2 The time spent in counseling and/or coordination of care activities, and 3 A description of the content of the counseling and/or coordination of care activities.