Full Answer
The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) coding system does not designate specific codes for PrEP or PEP related services. The codes listed here are options for providers to use when discussing and prescribing PrEP and PEP.
Recommended ICD 10 - CM Codes PrEP (pre-exposure prophylaxis) and PEP (post-exposure prophylaxis) The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) coding system does not designate specific billing codes for PrEP or PEP related services.
Z12.72 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM Z12.72 became effective on October 1, 2018. This is the American ICD-10-CM version of Z12.72 - other international versions of ICD-10 Z12.72 may differ. Z12.72 is applicable to female patients.
R87.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM R87.5 became effective on October 1, 2020. This is the American ICD-10-CM version of R87.5 - other international versions of ICD-10 R87.5 may differ.
Screening tests are ordered at initial visit. Subsequent visits use 'contact with' codes. Tests which are ordered to evaluate the patient for conditions potentially associated with long-term use of PrEP medication should include the code Z79. 899.
The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z76. 89, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first. That is the MDC that the patient will be grouped into.
ICD-10 code Z71. 89 for Other specified counseling is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Code R53. 83 is the diagnosis code used for Other Fatigue. It is a condition marked by drowsiness and an unusual lack of energy and mental alertness. It can be caused by many things, including illness, injury, or drugs.
Persons encountering health services in other specified circumstancesICD-10 code Z76. 89 for Persons encountering health services in other specified circumstances is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Z76. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Counseling, unspecifiedICD-10 code Z71. 9 for Counseling, unspecified is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Preventative medicine counselingCPT 99401: Preventative medicine counseling and/or risk factor reduction intervention(s) provided to an individual, up to 15 minutes may be used to counsel commercial members regarding the benefits of receiving the COVID-19 vaccine.
Preventive medicine, individual counseling CPT codes 99401–99404 are designated to report services provided to individuals at a face-to-face encounter for the purpose of promoting health and preventing illness or injury.
R53. 81: “R” codes are the family of codes related to "Symptoms, signs and other abnormal findings" - a bit of a catch-all category for "conditions not otherwise specified". R53. 81 is defined as chronic debility not specific to another diagnosis.
R53. 83 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 R53. 83 became effective on October 1, 2021.
The ICD-10 code for prediabetes is R73. 09.
You can't code or bill a service that is performed solely for the purpose of meeting a patient and creating a medical record at a new practice.
Z00.00ICD-10 Code for Encounter for general adult medical examination without abnormal findings- Z00. 00- Codify by AAPC.
Encounter for other administrative examinations The 2022 edition of ICD-10-CM Z02. 89 became effective on October 1, 2021. This is the American ICD-10-CM version of Z02.
CPT 99244 Consultation Code Consultation codes CPT 99244, 99245 and 99241 are used to represent second opinion visits.
Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.
Vaginal swab, sedimented first-void male urine, semen, prostatic fluid, or male urethral swab
Specimens are inoculated directly into the culture media with the exception of urine specimens which are first centrifuged at 500xg and the sediment used for inocula. Collect specimens using a cotton swab. To avoid leakage, first move the medium at the top of the InPouch™ downward to the middle of the upper chamber.
Maintain specimen at room temperature for up to 48 hours; if held longer than 48 hours, incubation at 37°C is required. Do not refrigerate.
Specimen received in the laboratory after 48 hours without incubation; expired product; specimen refrigerated; any transport except InPouch™ TV
The modifier 59 (Distinct Services) indicates that the second lab interpretation is distinct from the first and should be paid for separately. The KOH includes a whiff test which is why it is not appropriate to report code 87210 a third time if the whiff test is also performed.#N#It is always important to read the section notes of CPT which provide guidance for how some codes should be reported.#N#Please send questions and/or comments to [email protected]#N#ACOG Coding Workshops & Webcasts#N#Coding Assistance#N#E-Newsletter#N#Coding Home#N#ACOG Home#N#Contact:#N#Savonne Montue, MBA, RHIT, ACS-OB, COBGC#N#Manager, Coding Education#N#[email protected]#N#Donna Tyler, CPC, COBGC#N#Coding Specialist#N#[email protected]#N#Set Home Page to ACOG | Privacy Statement | Important Disclaimer | Copyright Infringement | Terms of Use | Contact Us#N#Copyright © 2009 American College of Obstetricians and Gynecologists. All rights reserved.
The KOH includes a whiff test which is why it is not appropriate to report code 87210 a third time if the whiff test is also performed. It is always important to read the section notes of CPT which provide guidance for how some codes should be reported. Please send questions and/or comments to [email protected].
Z30.014: Encounter for initial prescription of intrauterine contraceptive device.
Z34.01 – Encounter for supervision of first pregnancy, first trimester
99213 to 24: Unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period.
HCPCS Level II Q0111- Wet mounts, including preparations of vaginal, cervical or skin specimens (rather than 87210) for the wet prep.
The OB/GYN physician or professional should be ready to document clinical information of the visit on the encounter notes. If the physician sees a patient diagnosed and treated for conditions or problems outside the global period, but not seen in an E&M service level billed, it’s important to notify the provider for corrections on the records.
Z11.3 – Encounter for screening for infectious with a predominantly sexual mode of transmission
Z12.31 – Encounter for screening mammogram for Malignant Neoplasm of the breast