icd 9 code for insertion of nexplanon

by Dr. Regan Becker 3 min read

V25.5

What is the diagnosis code for nexplanon insertion?

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

What is the ICD 10 code for presence of nexplanon?

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

What is Z30 49?

ICD-10 code Z30. 49 for Encounter for surveillance of other contraceptives is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is code J7307?

J7307 - Etonogestrel (contraceptive) implant system, including implant and supplies.

What is DX code Z30 017?

Encounter for initial prescription of implantable subdermal contraceptiveICD-10 code Z30. 017 for Encounter for initial prescription of implantable subdermal contraceptive is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the ICD 10 code for contraception?

Z30.9Z30. 9 - Encounter for contraceptive management, unspecified. ICD-10-CM.

How is Nexplanon inserted?

A trained healthcare provider will insert the NEXPLANON implant on the inside of your upper, non-dominant arm. The implant is placed discreetly underneath the skin. While you won't necessarily see it, you should be able to feel it just beneath the skin if you touch it.

How do you bill for contraceptive counseling?

Codes 99401-99404 are reported when the entire encounter is for preventive medicine counseling (contraceptive and/or STI). The diagnosis code is Z30. 09 (encounter for other general contraception counseling).

Does CPT 58300 need a modifier?

A modifier 53 (discontinued procedure) is added to code 58300 (insertion of IUD) (i.e., 58300-53). This modifier is used when a procedure is started but discontinued and no other procedure is performed during the visit.

Is Nexplanon an IUD?

is NEXPLANON an IUD? No, it's not an intrauterine device (IUD), because it's placed in your arm, not your uterus. But like an IUD, it's a long-acting birth control option because it lasts for 3 years.

Is Nexplanon subdermal?

Nexplanon is a single-rod subdermal contraceptive implant containing a total of 68 mg of etonogestrel (a progestin being the active metabolite of desogestrel derived from the 19- nortestosterone), which is released daily at low doses (25–70 μg) through a rate-limiting membrane, allowing a contraceptive effect lasting ...

Is Nexplanon an IUD?

is NEXPLANON an IUD? No, it's not an intrauterine device (IUD), because it's placed in your arm, not your uterus. But like an IUD, it's a long-acting birth control option because it lasts for 3 years.

What is a Nexplanon device?

The birth control implant (AKA Nexplanon) is a tiny, thin rod about the size of a matchstick. The implant releases hormones into your body that prevent you from getting pregnant. A nurse or doctor inserts the implant into your arm and that's it — you're protected from pregnancy for up to 5 years.

What is the NDC number for Nexplanon?

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

Is Nexplanon subdermal?

Nexplanon is a single-rod subdermal contraceptive implant containing a total of 68 mg of etonogestrel (a progestin being the active metabolite of desogestrel derived from the 19- nortestosterone), which is released daily at low doses (25–70 μg) through a rate-limiting membrane, allowing a contraceptive effect lasting ...

When should Nexplanon be removed?

NEXPLANON should be removed in the event of a thrombosis. Due to the risk of thromboembolism associated with pregnancy and immediately following delivery, NEXPLANON should not be used prior to 21 days postpartum. Women with a history of thromboembolic disorders should be made aware of the possibility of a recurrence.

What is Nexplanon used for?

NEXPLANON is indicated for use by women to prevent pregnancy.

What is a broken implant?

Broken or Bent Implant. There have been reports of broken or bent implants, which may be related to external forces (e.g., manipulation of the implant or contact sports) while in the patient’s arm. There have also been reports of migration of a broken implant fragment within the arm.

What happens after nexplanon?

After starting NEXPLANON, women are likely to have changes in their menstrual bleeding pattern. These may include changes in frequency, intensity, or duration. Abnormal bleeding should be evaluated as needed to exclude pathologic conditions or pregnancy. In clinical studies of the non-radiopaque etonogestrel implant, reports of changes in bleeding pattern were the most common reason for stopping treatment (11.1%). Women should be counseled regarding bleeding pattern changes that they may experience.

What to do if you can't palpate a dental implant?

Counsel women to contact their health care provider immediately if, at any time, they are unable to palpate the implant.

Can etonogestrel cause pregnancy?

Undetected failure to insert the implant may lead to an unintended pregnancy. Failure to remove the implant may result in continued effects of etonogestrel, such as compromised fertility, ectopic pregnancy, or persistence or occurrence of a drug-related adverse event.

Does CYP3A4 increase progestin levels?

Co-administration of certain hormonal contraceptives and strong or moderate CYP3A4 inhibitors may increase the serum concentrations of progestins, including etonogestrel.

When will the ICD-10 Z30.46 be released?

The 2022 edition of ICD-10-CM Z30.46 became effective on October 1, 2021.

What is a Z00-Z99?

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:

What is the ICd 10 code for contraceptives?

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:

Where is the implant for contraception?

The contraceptive implant is a single-rod etonogestrel- releasing contraceptive device inserted under the skin of the upper arm. The insertion and/or removal of the implant are reported using one of the following CPT (Current Procedural Terminology) codes:

Does CPT include cost of supply?

CPT procedure codes do not include the cost of the supply. Report the supply separately using a HCPCS (Healthcare Procedural Coding System) code:

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Contraindications

Warnings and Precautions

  • Complications of Insertion and Removal 1. NEXPLANON should be inserted subdermally so that it will be palpable after insertion, and this should be confirmed by palpation immediately after insertion. Failure to insert NEXPLANON properly may go unnoticed unless it is palpated immediately after insertion. Undetected failure to insert the implant may l...
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Adverse Reactions

  • Clinical Trial Experience 1. The most common adverse reaction causing discontinuation of use of the implant in clinical trials was change in menstrual bleeding patterns, specifically irregular menses (11.1%). The most common adverse reactions (≥10%) reported in clinical trials were headache (24.9%), vaginitis (14.5%), weight increase (13.7%), acne (13.5%), breast pain (12.8%), …
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Use in Specific Populations

  • Pregnancy 1. Rule out pregnancy before inserting NEXPLANON. Lactation 1. Small amounts of contraceptive steroids and/or metabolites, including etonogestrel are present in human milk. No significant adverse effects have been observed in the production or quality of breast milk, or on the physical and psychomotor development of breastfed infants. 2. Hormonal contraceptives, in…
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