icd 9 code for family planning

by Bernie Wunsch 4 min read

2012 ICD-9-CM Diagnosis Code V25. 09 : Other general counseling and advice on contraceptive management.

What is the ICD-9 code for birth control?

Z30. 9 converts to ICD-9-CM: V25. 9 - Unspecified contraceptive management.

What is the ICD-10 code for family planning?

Z31.61Procreative counseling and advice using natural family planning. Z31. 61 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD-10 code for DEPO?

Z30.013Depo-Provera is taken from stock and billable on the claim. How should this be coded? Z30. 013 Encounter for initial prescription of injectable contraceptive (Note: It is also acceptable to code Z30.

What is the CPT code for family planning?

Non-Comprehensive Family Planning Visits Modifier FP may be used with the following HCPCS and CPT codes: Z1032 thru Z1038, Z6200 thru Z6500, 59400, 59510, 59610, 59618, ‹‹99202›› thru 99215, 99241 thru 99245, 99281 thru 99285, 99341 thru 99353, 99384, 99394, ‹‹and 99417.››

How do you code Depo-Provera?

Effective January 1, 2013, injection administration of medroxyprogesterone acetate (Depo-Provera) should be reported using HCPCS code J1050 (Injection, medroxyprogesterone acetate, 1 mg).

What is diagnosis code Z51 81?

2022 ICD-10-CM Diagnosis Code Z51. 81: Encounter for therapeutic drug level monitoring.

What is DX code Z30 42?

Encounter for surveillance of injectable contraceptive42: Encounter for surveillance of injectable contraceptive.

What is family planning?

Family planning services are provided to individuals of childbearing age to enable them to determine the number and spacing of their children, and to help reduce the incidence of maternal and infant deaths and diseases by promoting the health and education of potential parents. They include the following:

When to use modifier FP?

Modifier FP should be used when billing for additional time spent discussing family planning needs with a recipient during routine, non-family planning office visits. Family planning counseling services include the following:

How often is J3490U8 reimbursable?

HCPCS code J3490U8 (unclassified drugs) is limited to contraceptive injections and is reimbursable not more frequently than once every 80 days if billed by the same provider, for the same recipient.

What is the CPT code for UA?

Modifier UA (supplies and drugs for surgical procedures without general anesthesia) or UB (supplies and drugs for surgical procedures with general anesthesia) is reimbursable with CPT code 11976 (removal of implantable contraceptive capsules), code 58300 (insertion of an IUD) and code 58301 (removal of an IUD) when surgical supplies are necessary.

Where can I find the maximum reimbursement rate for a Medi-Cal onsite?

The maximum reimbursement rates for items dispensed onsite are set by the Medi-Cal program and are contained in the Medi-Cal rate table, which may be accessed from the Medi-Cal website (www.medi-cal.ca.gov) by clicking the “Medi-Cal Rates” link.

What is the CPT code for IUD insertion?

Annual exam & IUD:99981231160000-0800If during an annual exam, the beneficiary requests an IUD insertion (CPT procedure code 58300 ) or an IUD removal (CPT procedure code 58301 ), or during the annual visit the beneficiary decides to switch from birth control pills to an IUD, the provider may bill for the annual exam and the IUD insertion or IUD removal.An appropriate modifier must be submitted with the annual exam procedure code, indicating that the service rendered was a separately identifiable service provided by the same provider on the same day of service.

Can you see a patient in a family planning clinic?

If an established Family Planning patient needs an appointment for STI testing or treatment, the agency may see the patient in the Family Planning clinic and bill the respective payer source, including Be Smart Family Planning Medicaid.

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