Encounter for contraceptive management2022 ICD-10-CM Diagnosis Code Z30: Encounter for contraceptive management.
Encounter for surveillance of contraceptive pillsICD-10 code Z30. 41 for Encounter for surveillance of contraceptive pills is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Codes 99401-99404 are reported when the entire encounter is for preventive medicine counseling (contraceptive and/or STI).
Diagnosis CodesDiagnosis CodeDescriptionZ30.09Encounter for other general counseling and advice on contraceptionZ30.2Encounter for sterilizationZ30.40Encounter for surveillance of contraceptives, unspecifiedZ30.41Encounter for surveillance of contraceptive pills21 more rows
ICD-10 code Z30. 09 for Encounter for other general counseling and advice on contraception is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Instructions under Z01. 411 and Z01. 419 (routine gynecological exam with or without abnormal findings) indicate that the codes include a cervical Pap screening and instruct us to add additional codes for HPV screening and/or a vaginal Pap test.
Long term (current) use of hormonal contraceptives Z79. 3 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 Z79. 3 became effective on October 1, 2021.
Report the supply separately using a HCPCS (Healthcare Procedural Coding System) code: J7307 Etonogestrel (contraceptive) implant system, including implant and supplies.
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).
Contraception is an artificial method or other techniques, mainly used to prevent pregnancy as a consequence of sexual intercourse.
The different methods of contraception available are Natural/Traditional methods, Barriers, IUDs (IntraUterine Devices), Oral contraceptives, Implants, Injectables, and surgical methods.
Contraceptive counseling is a common and important patient–clinician interaction. When approached through a framework of reproductive justice, contraceptive counseling helps patients achieve their reproductive goals in a manner consistent with their priorities, values, and lived experiences.
The 2022 edition of ICD-10-CM Z79.3 became effective on October 1, 2021.
Z77-Z99 Persons with potential health hazards related to family and personal history and certain conditions influencing health status
The 2022 edition of ICD-10-CM Z30.46 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 2022 edition of ICD-10-CM Z71.89 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:
Z71- Persons encountering health services for other counseling and medical advice , not elsewhere classified
ICD Code Z30 is a non-billable code. To code a diagnosis of this type, you must use one of the five child codes of Z30 that describes the diagnosis 'encounter for contraceptive management' in more detail. Z30 Encounter for contraceptive management.
Z30 . Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail. ICD Code Z30 is a non-billable code.
Per CPT, these services, “address any needed coordination of care performed by multiple disciplines and community service agencies. The reporting individual provides or oversees the management and/or coordination of services needed, for all medical conditions, psychosocial needs and activity of ADL support by providing first contact and continuous access”.
CPT Code 99496 covers the same code details, involves medical decision making of high complexity and a face-to-face visit within seven days of discharge. The work RVU is 3.05. or an approximate reimbursement of $109.80
Billing should occur at the conclusion of the 30-day post-discharge period. Now CMS put out on their website FAQ’s in 2018, saying that the date of the face to face can be the date the entire service is billed. But I would use caution and common sense here. Once all of the 30 days of service is met, then report the code. By reporting prior to the 30-day period, you run the risk of staff not finishing the tasks that are part of the code compliance.
Medication reconciliation and management should happen no later than the face-to-face visit.
They are payable only once per patient in the 30 days following discharge, thus if the patient is readmitted TCM cannot be billed again.