Preventive Medicine: Contraceptive Methods

May 9th, 2018 - Find-A-Code™
Categories:   CPT® Coding   HCPCS Coding   Diagnosis Coding   Modifiers   Preventive Medicine Service   Obstetrics|Gynecology  
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Contraceptive Methods

Procedure Codes
A4261: Cervical cap for contraceptive use
A4266: Diaphragm for contraceptive use
A4264: Permanent implantable contraceptive intratubal occlusion device(s) and delivery system
J7300: Intrauterine copper contraceptive
J7301: Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg
J7303: Contraceptive supply, hormone containing vaginal ring, each
J7304: Contraceptive supply, hormone containing patch, each
J7306: Levonorgestrel (contraceptive) implant system, including implants and supplies
J7307: Etonogestrel (contraceptive) implant system, including implant and supplies
J7296: Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg
J7297: Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg
J7298: Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg
J1050: Injection, medroxyprogesterone acetate, 1 mg
00851: Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/transection
11976: Removal, implantable contraceptive capsules
11981: Insertion, non-biodegradable drug delivery implant
11982: Removal, non-biodegradable drug delivery implant
11983: Removal with reinsertion, non-biodegradable drug delivery implant


57170: Diaphragm or cervical cap fitting with instructions
58300: Insertion of intrauterine device (IUD
58301: Removal of intrauterine device (IUD)
58340: Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography
58565: Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants
58600: Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral
58605: Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure)
58611: Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure)
58615: Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach
58670: Laparoscopy, surgical; with fulguration of oviducts (with or without transection)
58671: Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)
74740: Hysterosalpingography, radiological supervision and interpretation
76830: Ultrasound, transvaginal
96372: Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular

ICD-10-CM
A4261, A4266, J1050, J7300-J7301, J7303-J7304, J7306-J7307, J7296-J7298, 11981-11983, 11976, 57150, 58300-58301, 96372: T83.31XA-T83.39XS, T83.59XAT83.6XXS, T83.81XAT83.9XXS, Z30.011-Z30.9, Z98.51, Z97.5
58340, 74740: Z30.42, Z98.51
58565: Z30.2
76830: Z30.011 Z30.013 Z30.014 Z30.02 Z30.09 Z30.2 Z30.40 Z30.41 Z30.42 Z30.430 Z30.431 Z30.432 Z30.433 Z30.46 Z30.49 Z30.8 Z30.9 Z98.51
A4246, 58600, 58605, 58611, 58615, 58671, 58670, 00851: No specific diagnoses

Frequency
A4261, A4266, J1050, J7301, J7303-J7304, J7306-J7307, J7296-J7298, 11981-11983, 11976, 57150, 58300-58301, 96372, 58340, 74740, A4246, 58600, 58605, 58611, 58615, 58671, 58670, 00851, 76830: No specific frequency guidelines

Additional Information
A4261, A4266, J1050, J7301, J7303-J7304, J7306-J7307, J7296-J7298, 11981-11983, 11976, 57150, 58300-58301, 96372, 58340, 74740, A4246, 58600, 58605, 58611, 58615, 58671, 58670, 00851

  • Visits for side-effects should be coded with codes 99201-99215, as supported with the documentation, with modifier 33

Not covered by Medicare for preventative care, consult your payer for full guidelines


Find-A-Code™ - Preventive Services - The information in this document does not guarantee payment or that included codes meet applicable qualifications as preventive services for all insurances and insurance plans, please consult your payer.


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