Preventive Medicine: Contraceptive Methods

May 9th, 2018 - Find-A-Codeā„¢
Categories:   CPT® Coding   HCPCS Coding   Diagnosis Coding   Modifiers   Preventive Medicine Service   Obstetrics|Gynecology  

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.


###

Questions, comments?

If you have questions or comments about this article please contact us.  Comments that provide additional related information may be added here by our Editors.


Latest articles:  (any category)

Reporting Modifiers 76 and 77 with Confidence
April 18th, 2023 - Aimee Wilcox
Modifiers are used to indicate that a procedure has been altered by a specific circumstance, so you can imagine how often modifiers are reported when billing medical services. There are modifiers that should only be applied to Evaluation and Management (E/M) service codes and modifiers used only with procedure codes. Modifiers 76 and 77 are used to identify times when either the same provider or a different provider repeated the same service on the same day and misapplication of these modifiers can result in claim denials.
Five Documentation Habits Providers Can Use Implement to Improve Evaluation & Management (E/M) Scoring
April 11th, 2023 - Aimee Wilcox
Provider education on E/M coding updates is vital to the success of any organization, but how do you whittle down the massive information into bite-sized pieces the providers can learn in just a few minutes? Check out the five steps we have identified to teach providers in just a few minutes that can significantly impact and improve coding outcomes.
Second Quarter 2023 Updates are Different This Year
April 6th, 2023 - Wyn Staheli
The second quarter of 2023 is NOT business as usual so it is important to pay attention to ensure that organizational processes and training take place to avoid mistakes. Not only have ICD-10-CM coding updates been added to the usual code set updates (e.g., CPT, HCPCS, ICD-10-PCS), but the end of the COVID-19 Public Health Emergency will bring about changes that will also take place during the quarter (but not on April 1, 2023.
7 Measures Developed by the HHS Office of Inspector General (OIG) to Identify Potential Telehealth Fraud
March 28th, 2023 - Aimee Wilcox
A recent review of telehealth services reported in Medicare claims data during the pandemic where these seven measures for identifying suspected fraud, waste, and abuse were applied, revealed more than a thousand Medicare providers potentially committed fraud during this period. What are the measures the OIG applied during their review, and how will that impact future telehealth guidelines moving forward?
MUEs and Bilateral Indicators
March 23rd, 2023 - Chris Woolstenhulme
MUEs are used by Medicare to help reduce improper payments for Part B claims. This article will address the use of the National Correct Coding Initiative (NCCI) and Medically Unlikely Edits (MUEs) and how they are used by CMS.
It is True the COVID-19 PHE is Expiring
March 16th, 2023 - Raquel Shumway
The COVID-19 PHE is Expiring, according to HHS. What is changing and what is staying the same? Make sure you understand how it will affect your practice and your patients.
Billing Process Flowchart
March 2nd, 2023 -
The Billing Process Flowchart (see Figure 1.1) helps outline the decision process for maintaining an effective billing process. This is only a suggested work plan and is used for demonstration purposes to illustrate areas which may need more attention in your practice’s policies and...



Home About Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2023 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association