What to expect after IUD removal: From prep to recovery
You will lie down in the same position you used for the IUD insertion, and then your provider will:
To remove an IUD:
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.
Z30.432ICD-10 Code for Encounter for removal of intrauterine contraceptive device- Z30. 432- Codify by AAPC.
ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.
Aftercare codes are found in categories Z42-Z49 and Z51. Aftercare is one of the 16 types of Z-codes covered in the 2012 ICD-10-CM Official Guidelines and Reporting.
58301Intrauterine devices include the copper IUD and the hormonal IUDs. 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. 430 Encounter for insertion of intrauterine contraceptive device in ICD-10-CM.
Follow-up visits, like initial visits, should be coded using the appropriate evaluation and management (E/M) code (i.e., 99211–99215). Given the limited interaction with the patient and limited work involved, the level of service is likely to be low (e.g., 99211 or 99212).
Follow-up. The difference between aftercare and follow-up is the type of care the physician renders. Aftercare implies the physician is providing related treatment for the patient after a surgery or procedure. Follow-up, on the other hand, is surveillance of the patient to make sure all is going well.
Aftercare visit codes are assigned in situations in which the initial treatment of a disease has been performed but the patient requires continued care during the healing or recovery phase, or for the long-term consequences of the disease.
Follow-up codes are used to explain continuing surveillance following completed treatment of a disease, condition, or injury. They imply that the condition has been fully treated and no longer exists.
Following ICD-10 guidelines, if a patient has or has had an HIV related condition, use B20 AIDS. If the patient has a positive HIV status, without symptoms or related conditions, use Z21.
Z5189 - ICD 10 Diagnosis Code - Encounter for other specified aftercare - Market Size, Prevalence, Incidence, Quality Outcomes, Top Hospitals & Physicians.
Encounter for routine checking of intrauterine contraceptive device 1 Z30.431 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Encounter for routine checking of intrauterine contracep dev 3 The 2021 edition of ICD-10-CM Z30.431 became effective on October 1, 2020. 4 This is the American ICD-10-CM version of Z30.431 - other international versions of ICD-10 Z30.431 may differ.
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:
58562 Hysteroscopy, surgical; with removal of impacted foreign body#N#If the IUD is not impacted, you should not choose removal of impacted foreign body.#N#For IUD removal and hysteroscopy with D&C, I would code#N#58558 Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C#N#58301 Removal of intrauterine device (IUD)#N#T19.3XXA Foreign body in uterus, initial encounter#N#Parent Code Notes: T19#N#Excludes2: complications due to implanted mesh (T83.7-)#N#mechanical complications of contraceptive device (intrauterine) (vaginal) (T83.3-)#N#presence of contraceptive device (intrauterine) (vaginal) (Z97.5)#N#The excludes guidance tells you not to use for IUD. I would consider Z30.432 or T83.3- based on clinical information.
If the hysteroscopy is just to remove a non-impacted IUD because the strings are lost, 58562 is not the correct code. There is no exact code for that scenario, but I use 58555.