CODING GUIDELINES FOR CONTRACEPTIVES. Effective June 1, 2017 Version 1.40

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1 CODING GUIDELINES FOR CONTRACEPTIVES Effective June 1, 2017 Version 1.40

2 TABLE OF CONTENTS ICD-10 CM Diagnosis Codes: Encounter for Contraception page 2 Coding for IUD Insertion and Removal Procedures page 3-5 Coding for Implant (Nexplanon) Insertion and Removal Procedures page 4 Coding for LARC Complications page Coding for Immediate Post-Partum LARC page 6 05 Coding for Other Methods pages 7-10 Coding for Emergency Contraception page 11 Coding for Sterilization page 12 Guidelines for Contraceptive Coding Pages About Upstream Page Provided as reference only, codes subject to change, Version 1.40 June 1, 2017 Coding for Contraceptives 1

3 ICD-10 CM DIAGNOSIS CODES: ENCOUNTER FOR CONTRACEPTIVE (Z30-) - EFFECTIVE Z30.0- Encounter for general counseling and advice on contraception Z ENCOUNTER FOR INITIAL PRESCRIPTION OF CONTRACEPTIVES Z Contraceptive pills, initial prescription Z Emergency contraception, prescription Z Injectable contraceptive (Depo Provera), initial prescription Z IUD, initial prescription (Note: not coded for the actual insertion) Z Vaginal ring hormonal contraceptive, initial prescription Z Transdermal patch hormonal contraceptive device, initial prescription Z Implantable subdermal contraceptive (Nexplanon), initial prescription Z Barrier method or diaphragm, initial prescription Z Contraceptives unspecified, initial prescription Z30.02 COUNSELING AND INSTRUCTION IN NATURAL FAMILY PLANNING TO AVOID PREGNANCY Z30.09 ENCOUNTER FOR OTHER GENERAL COUNSELING AND ADVICE ON CONTRACEPTION Z30.2 Encounter for sterilization Z30.4- Encounter for surveillance of contraceptives (includes refills) Z30.40 ENCOUNTER FOR SURVEILLANCE OF CONTRACEPTIVES UNSPECIFIED Z30.41 ENCOUNTER FOR SURVEILLANCE OF CONTRACEPTIVE PILLS Z30.42 ENCOUNTER FOR SURVEILLANCE OF INJECTABLE CONTRACEPTIVE (Depo Provera) Z ENCOUNTER FOR SURVEILLANCE OF IUD Z Insertion of IUD Z Routine checking of IUD Z Removal of IUD Z Removal and reinsertion of IUD Z30.44 ENCOUNTER FOR SURVEILLANCE OF VAGINAL RING Z30.45 ENCOUNTER FOR SURVEILLANCE OF TRANSDERMAL HORMONAL PATCH Z30.46 ENCOUNTER FOR SURVEILLANCE OF IMPLANTABLE SUBDERMAL CONTRACEPTIVE (INCLUDES CHECKING, REINSERTION OR REMOVAL OF NEXPLANON Z30.49 ENCOUNTER FOR SURVEILLANCE OF OTHER CONTRACEPTIVES Z30.8 Encounter for other contraceptive management Z30.9 Encounter for contraceptive management, unspecified Provided as reference only, codes subject to change, Version 1.40 June 1, 2017 Coding for Contraceptives 2

4 CODING FOR IUD INSERTION AND REMOVAL PROCEDURES 02 CPT code is coded for IUD insertions while describes the removal of an IUD. Reimbursement may depend on who is paying for the service (i.e. Medicaid, a commercial insurer or the patient), the type of facility you are (i.e. a private physician office, a clinic, a federally qualified health center or FQHC), provider type and contract terms. For example, your agency might be paid separately for both the insertion and the device, or you may be paid an inclusive threshold rate for the visit with no carve-out or separate payment for the device. ICD-10 code Z Encounter for initial prescription of IUD may be used for a visit when the patient may decide to have an IUD placed but the insertion is not done. The patient may need to have the IUD ordered as a pharmacy benefit. Use code Z when inserting the IUD. There are new device codes effective January 1, 2016 for both the Mirena and Liletta IUD which replace the now deleted code J7302. See below. Insertion and Removal IUD Insertion Z Encounter for insertion of an IUD IUD Removal Z Encounter for removal of IUD IUD Removal and IUD Insertion E/M (or other medical / counseling service) - Report E/M code only if separate and distinct from the insertion or removal procedure Surveillance E/M (or other medical / counseling service) 51 (or 59 payer dependent) Z Encounter for removal and reinsertion of IUD 25 As appropriate (Example: Z30.09 if main reason for medical service is contraceptive options counseling before deciding to have the LARC placed) Z Encounter for routine checking of IUD Device J7297 Levonorgestrel-releasing IUD, 52 mg, 3 year duration (Liletta) J7298 Levonorgestrel-releasing IUD, 52 mg, 5 year duration (Mirena) J7300 IUD copper (ParaGard) J7301 Levonorgestrel-releasing IUD, 13.5 mg (Skyla) J3490 Levonorgestrel-releasing IUD, 19.5 mg (Kyleena) (Note: temporary code unclassified drug) Provided as reference only, codes subject to change, Version 1.40 June 1, 2017 Coding for Contraceptives 3

5 CODING FOR IMPLANT (NEXPLANON) INSERTION AND REMOVAL PROCEDURES 03 Unlike IUD coding, there is one combination CPT code (11983) for the removal and reinsertion of Nexplanon. Remember, the device itself is not included in the procedure codes and should be coded separately for reporting and reimbursement purposes. Note: there are 2 new distinct ICD-10 codes (Z and Z30.46) for implants effective October 1, For claims with date of service prior to this, use the non-specific codes Z for the implant insertion or Z30.49 for the checking, removal or reinsertion. Insertion and Removal Insertion, nonbiodegradable drug deliver implant Removal, nonbiodegradable drug delivery implant Removal with reinsertion, non-biodegradable drug delivery implant E/M (or other medical / counseling service) - Report E/M code only if separate and distinct from the insertion or removal procedure Z Encounter for initial prescription of implantable subdermal contraceptive (New code ) Z30.46 Encounter for checking, reinsertion or removal of implantable subdermal contraceptive (New code ) 25 As appropriate (Example: Z30.09 if main reason for medical service is contraceptive options counseling before deciding to have the LARC placed) Surveillance E/M (or other medical / counseling service) Z30.46 Encounter for checking, reinsertion or removal of implantable subdermal contraceptive (New code ) Contraceptive J7307 Etonogestrel (Contraceptive) Implant System, Including Implant And Supplies (Nexplanon) Provided as reference only, codes subject to change, Version 1.40 June 1, 2017 Coding for Contraceptives 4

6 CODING FOR LARC COMPLICATIONS 04 There are also ICD-10 codes used to document the presence of a LARC device or a related complication. See additional T8-- ICD-10 codes and instructions for documenting complications. TYPE Presence of Complications ICD-10 CM DIAGNOSIS Z97.5 Presence of (intrauterine) contraceptive device - Presence of IUD - Presence of subdermal contraceptive implant *Excludes checking, reinsertion or removal of contraceptive device (Z30.43-) T83.3- Mechanical complication of intrauterine contraceptive device T Breakdown (mechanical) of intrauterine contraceptive device T83.31xA initial encounter T83.31xD subsequent encounter T83.31xS. sequela T Displacement of intrauterine contraceptive device - Malposition of IUD - Missing IUD String T83.32xA... Initial encounter T83.32xD subsequent encounter T83.32xS sequela T83.39xA Other mechanical complication of intrauterine contraceptive device - Leakage of IUD - Obstruction (mechanical) of IUD - Perforation of IUD - Protrusion of IUD T83.39xA... Initial encounter T83.39xD subsequent encounter T83.39xA sequela Provided as reference only, codes subject to change, Version 1.40 June 1, 2017 Coding for Contraceptives 5

7 CODING FOR IMMEDIATE POST-PARTUM LARC INSERTIONS 05 The immediate postpartum period prior to hospital discharge can be an opportune time to offer contraception. Insertion of LARC methods immediately postpartum can also provide access to these methods for women who may not have insurance coverage after delivery or who may not attend their scheduled postpartum follow up visit. ACOG provides direct links by state to a 2016 CMS publication: Medicaid Reimbursement for Postpartum LARC in the Hospital Setting. 1 (click here) In cases in which the LARC is placed immediately following birth - you would typically append a Modifier 51 (multiple procedures) or occasionally modifier 59 (distinct procedure) depending on the payer s instruction) to the CPT code for the insertion. When the LARC is placed 24 hours or more after birth, the insertion CPT (58300 or 11981) requires the addition of the Modifier -79 Unrelated procedure by the same physician or QHCP during the post-operative period (starting the day after the procedure) rather than modifier 51 for multiple procedures done at the same time. Check with your payers for specific reimbursement instructions for both the device and insertion. IUD IUD Insertion Z Encounter for insertion of an IUD Implant Implant Insertion 51 or 79 * see above Z Encounter for insertion of an implant Device J7297 Levonorgestrel-releasing IUD, 52 mg, 3 year duration (Liletta) J7298 Levonorgestrel-releasing IUD, 52 mg, 5 year duration (Mirena) J7300 IUD copper (ParaGard) J7301 Levonorgestrel-releasing IUD, 13.5 mg (Skyla) J3490 Levonorgestrel-releasing IUD, 19.5 mg (Kyleena) (Note: temporary code unclassified drug) J7307 Etonogestrel (Contraceptive) Implant System, Including Implant And Supplies (Nexplanon) 1 Resources-for-Postpartum-LARC-Initiation/Medicaid-Reimbursement-for-Postpartum-LARC-By-State Provided as reference only, codes subject to change, Version 1.40 June 1, 2017 Coding for Contraceptives 6

8 CODING FOR OTHER METHODS 06 Oral contraceptives, vaginal rings, hormonal patches, injections, barrier methods, emergency contraception (EC) and other forms of contraception dispensed should be documented and captured for each visit. The cost of the contraceptive supply may be separately reimbursed in addition to the medical service or counseling. Check with your payers and contracts for guidelines. Coding for Oral Contraceptives (OC) TYPE CPT / HCPCS ICD-10 CM DIAGNOSIS Initial Surveillance E/M (or other medical / counseling service) E/M (or other medical / counseling service) Z30.11 Encounter for initial prescription of OC Z30.41 Encounter for surveillance of OC Contraceptive S4993 Contraceptive pills for birth control - include units Coding for Depo Provera Initiate E/M 992xx or 993xx Injection Z Encounter for initial prescription of injectable contraceptive Surveillance Report E/M only if separate and distinct from the injection Z30.42 Encounter for surveillance of injectable contraceptive Contraceptive J1050 Injection, medroxyprogesterone acetate, 1 mg (report units per mg dispensed (i.e. 150)) Provided as reference only, codes subject to change, Version 1.40 June 1, 2017 Coding for Contraceptives 7

9 CODING FOR OTHER METHODS 06 Effective October 1, 2016 there are new specific codes for both the vaginal ring and hormonal patch. For claims with dates of service prior to this, you would use the unspecified codes Z for the initial prescriptions or Z30.49 for the surveillance and refill visits. Coding for Vaginal Rings Initial E/M (or other medical / counseling service) Surveillance E/M (or other medical / counseling service) Z Encounter for initial prescription of vaginal ring hormonal contraceptive (new code ) Z30.44 Encounter for surveillance of vaginal ring hormonal contraceptive device (new code ) Contraceptive J7303 Contraceptive vaginal ring include units Coding for Hormonal Patches Initiate E/M (or other medical / counseling service) Surveillance E/M (or other medical / counseling service) Z Encounter for initial prescription of transdermal patch hormonal contraceptive device (new code ) Z30.45 Encounter for surveillance of transdermal patch hormonal contraceptive device (new code ) Contraceptive J7304 Contraceptive hormonal patch include units Provided as reference only, codes subject to change, Version 1.40 June 1, 2017 Coding for Contraceptives 8

10 CODING FOR OTHER METHODS 06 Coding for Diaphragm, Cervical Cap Initial Diaphragm or cervical cap fitting with instructions E/M (or other medical / counseling service) - Report E/M code only if separate and distinct from the procedure Z Encounter for initial prescription of diaphragm (New description ) 25 As appropriate Surveillance E/M (or other medical / counseling service) Z30.49 Encounter for surveillance of diaphragm (New description ) Contraceptive AA261 cervical cap, A4266 diaphragm, Check with Payer for appropriate codes and if separately reimbursed Coding for Other Barrier Methods (Sponge, condoms, spermicide) Initial Surveillance E/M (or other medical / counseling service) E/M (or other medical / counseling service) Z Encounter for initial prescription of barrier contraception (New description ) Z30.49 Encounter for surveillance of barrier contraception (New description ) Contraceptive A4267 male condom, A4268 female condom, A4269 contraceptive supply-spermicide. Check with Payer for appropriate codes and if separately reimbursed Provided as reference only, codes subject to change, Version 1.40 June 1, 2017 Coding for Contraceptives 9

11 CODING FOR OTHER METHODS 06 Coding for Natural Family Planning TYPE CPT / HCPCS ICD-10 CM DIAGNOSIS Initial Surveillance E/M (or other medical / counseling service) Z30.02 Counseling and instruction in natural family planning to avoid pregnancy Contraceptive None Provided as reference only, codes subject to change, Version 1.40 June 1, 2017 Coding for Contraceptives 10

12 CODING FOR EMERGENCY CONTRACEPTION 07 Emergency contraception methods are used to prevent pregnancy after unprotected sex, rape, or birth control failure. Methods include: Progestin-only pills, combination estrogen-progestin pills, ulipristal pills Copper IUD Coding for ECPs EC E/M (or other medical / counseling service) Z Encounter for prescription of emergency contraception Contraceptive Check with Payers on accepted J or S code Coding for Copper IUD as EC Insertion IUD Insertion Z Encounter for IUD insertion Z Encounter for prescription of emergency contraception (check with payer if both codes are needed) E/M (or other medical / counseling service) - Report E/M code only if separate and distinct from the EC insertion procedure 25 As appropriate Contraceptive J7300 IUD copper ParaGard Provided as reference only, codes subject to change, Version 1.40 June 1, 2017 Coding for Contraceptives 11

13 CODING FOR STERILIZATION 08 Coding for Female Sterilization Procedure Hysteroscopy Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants Other related procedure codes include: 58600, 58605, E/M - Report E/M code only if separate and distinct from the procedure; Not reported for scheduled procedures As appropriate Z30.2 Encounter for sterilization 25 As appropriate Z98.51 Tubal ligation status Contraceptive A4264 Permanent implantable contraceptive intratubal occlusion device(s) and delivery system [Pomeroy technique, Falope ring, Filshie clip, Hulka-Clemens clip] Coding for Vasectomy Procedure Vasectomy Encounter Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) Z30.2 Encounter for sterilization E/M (992xx or 993xx) - Report E/M code only if separate and distinct from the procedure; Not reported for scheduled procedures As appropriate 25 As appropriate Z98.52 Vasectomy status Provided as reference only, codes subject to change, Version 1.40 June 1, 2017 Coding for Contraceptives 12

14 GUIDELINES FOR CONTRACEPTIVE CODING 09 Medical codes describe what happened during the visit and establish medical necessity for why the visit itself and the services provided during the visit were needed. Clinical documentation is needed to support the codes submitted to a Payer for reimbursement. Remember if it is not documented it can t be billed! Clinical and billing staff must work together as a team to ensure exchange of information is timely, services are promptly billed and paid in full, and any outstanding questions are resolved. 1. Procedures Codes (CPT/HCPCS) These codes describe what services were provided. a. CPT: The Current Procedural Terminology (CPT) code set is maintained by the American Medical Association. Every service we provide relates to a CPT code including Evaluation and Management (E/M) services, procedures, device implants and removals, lesion removals, pap smears, lab tests, immunizations etc. b. HCPCS codes are used to typically describe supplies including: contraceptives, LARC devices and drugs. 2. ICD-10 Diagnosis Codes International Classification of Diseases. These codes are used to describe why the services were provided. They describe conditions, diseases, injuries, and symptoms. The World Health Organization (WHO) is responsible for updating ICD codes. Although reimbursement is typically based on procedure codes, diagnosis codes also must be included on a claim to establish medical necessity and ensure accurate reimbursement. a. It is essential for clinical and billing staff to learn the new ICD-10 code set and work together to ensure appropriate reimbursement of services is maintained. 3. Modifier Codes are used to describe special circumstances pertaining to the CPT billed. Some modifiers impact payment. Commonly used modifiers for LARC include: Coding Tip Robust documentation practices along with correct coding will support and lead to appropriate payment of services. 22 Increased Procedural Services (not used on E/M) 24 Unrelated E/M Service by the Same Physician / QHCP during a postoperative period 25 Distinct E/M from the LARC procedure by same physician / QHCP on same day 51 Multiple Procedures same session and clinician 52 Reduced Service 53 Discontinued Service 59 Separate Procedures or Distinct Procedural Services 76 Repeat procedure same physician / QHCP 77 Repeat procedure different physician / QHCP 79 Unrelated procedure by the same physician / QHCP during the post-operative period (starting the day after the procedure) Provided as reference only, codes subject to change, Version 1.40 June 1, 2017 Coding for Contraceptives 13

15 GUIDELINES FOR CONTRACEPTIVE CODING 09 ACOG (American College of Obstetricians and Gynecologists) recommends the following practices for coding of LARC (Long acting reversible contraception) services: E/M Services Code Only If a patient comes in to discuss contraception options but no procedure is provided at that visit: If the discussion takes place during an annual preventive visit ( or ), it is included in the Preventive Medicine code. The discussion is not reported separately. If the discussion takes place during an E/M office or outpatient visit ( ), an E/M services code may be reported if an E/M service (including history, physical examination, or medical decision making or time spent counseling) is documented. Link the E/M code to ICD-10-CM diagnosis code Z30.09 (General family planning counseling and advice). E/M Services Code and Procedure Code If discussion of contraceptive options takes place during the same encounter as a procedure, such as insertion of a contraceptive implant or IUD, it may or may not be appropriate to report both an E/M services code and the procedure code: If the clinician and patient discuss a number of contraceptive options, decide on a method, and then an implant or IUD is inserted during the visit, an E/M service may be reported, depending on the documentation. If the patient comes into the office and states, I want an IUD, followed by a brief discussion of the benefits and risks and the insertion, an E/M service is not reported since the E/M services are minimal. If the patient comes in for another reason and, during the same visit, a procedure is performed, then both the E/M services code and procedure may be reported. If reporting both an E/M service and a procedure, the documentation must indicate a significant, separately identifiable E/M service. The documentation must indicate either the key components (history, physical examination, and medical decision making) or time spent counseling. A modifier 25 (significant, separately identifiable E/M service on the same day as a procedure or other service) is added to the E/M code to indicate that this service was significant and separately identifiable from the insertion. This indicates that two distinct services were provided: an E/M service and a procedure. 1 Coding Tip An E/M code should not be routinely coded and billed for a scheduled LARC insertion. Documentation is required to support a separate and distinct E/M service. 1 ACOG LARC Quick Coding Guide 2012; Provided as reference only, codes subject to change, Version 1.40 June 1, 2017 Coding for Contraceptives 14

16 GUIDELINES FOR CONTRACEPTIVE CODING (CONT D) 09 Time Clinician counseling is a typically a significant part of the visit as the new QFP (Quality Family Planning Guidelines) from the CDC (Center for Disease Control) and OPA (Office of Population Affairs) move towards less required exams for contraceptive initiation and surveillance. To determine the level of the E/M code (992xx codes) using time, the clinician counseling must be greater than 50% of the total face-to-face time with the clinician and patient. Both the total face-to-face time and the amount spent counseling must be documented in the medical record. Note the typical times for a face-to-face encounter below: AVG. MINUTES SPENT (FACE-TO-FACE) NEW PATIENT ESTABLISHED PATIENT Coding Tip If a clinician spends more than 50% of a face-to-face visit counseling or coordinating a patient s care, the clinician can code the E/M on the basis of time. The level of history, physical examination, and medical decision-making do not matter in selecting this code. Discontinued Insertions Question: How do you recoup the cost of the device when the IUD insertion was unsuccessful? Answer: Some payers will pay for the supply of an IUD after a failed attempt. However, contact the payer to be certain. The payer may have specific coding instructions you ll need to follow so their system can recognize that payment should be made separately for the initial failed attempt and subsequent successful placement. If the payer provides you with such instructions it is appropriate to comply with their request. It s always best to get this in writing. A copy of the operative note may need to be sent with the claim for the payer to review. On the other hand, if the payer doesn't cover LARC supplies that failed to be inserted, contact the manufacturer. Various LARC manufacturers will either send your practice a replacement IUD or implant or provide a refund. These manufacturers typically have forms that must be filled out explaining why the device couldn t be inserted or may request a short letter that explains the circumstance. Provided as reference only, codes subject to change, Version 1.40 June 1, 2017 Coding for Contraceptives 15

17 GUIDELINES FOR CONTRACEPTIVE CODING (CONT D) 09 Discontinued Insertions (cont d) Question2: Can I bill for the discontinued procedure? Answer: Yes. Either modifier 52 Reduced Service or 53 Discontinued Procedure is added to code (Insertion of IUD) or codes or for the Nexplanon insertion. The modifier is used when a procedure is started but discontinued and no other procedure is performed during the visit. Modifier 52 is used if the clinical provider can not finish the procedure for a technical reason (i.e. stenosis) where as - 53 is typically used when the patient s safety is a concern (i.e. patient has a vaso-vagal episode). These modifiers provide a way to receive partial payment for work performed before the procedure is discontinued. It is not necessary to reduce the fee. The payer will determine the fee for the service (typically 50% payment). The payer may require documentation showing how much work was actually performed. This modifier is also useful because it tells the payer that the procedure was unsuccessful for future contraceptive billing. Ultrasounds Performed to Check IUD Placement Question: Is an ultrasound performed to check IUD placement included in the IUD insertion? Answer: An ultrasound to check IUD placement is coded separate from the IUD insertion (code 58300). However, keep in mind it is not common practice to use ultrasound to confirm placement. Therefore, this should not be routinely billed. Ultrasounds may be used to confirm the location of the IUD when the clinician incurs a difficult IUD placement (e.g., severe pain, uterine perforation, etc.). Consider the following possible codes for the placement confirmation: Code (Ultrasound, pelvic [non-obstetric], real time with image documentation; complete) Code Ultrasound, pelvic [non-obstetric], real time with image documentation; limited or follow-up Code Ultrasound, transvaginal Occasionally, ultrasound is needed to guide IUD insertion. If ultrasound is used, use code (Ultrasonic guidance, intra-operative) Difficult Insertions Question: How do I bill for a difficult LARC insertion that takes additional time and effort? Answer: The 22 modifier can be reported if the work required to insert an IUD is substantially greater than usual. The 22 modifier can also be reported in the case of an unsuccessful insertion followed by a successful insertion during the same surgical session. A modifier 22 is added to code. Documentation Provided as reference only, codes subject to change, Version 1.40 June 1, 2017 Coding for Contraceptives 16

18 GUIDELINES FOR CONTRACEPTIVE CODING (CONT D) 09 must support the substantial additional work and the reason for the additional work, such as: increased intensity or time, increased technical difficulty of performing the procedure, severity of patient s condition, increased physical and mental effort required. Check with your payers for guidelines. Lab Tests Question: Are in-house lab tests such as a UPT (CPT 81025) reimbursed in addition to the contraceptive visit or procedure? Answer: Depending on your facility and contract with each payer, in-house point-of-care tests may be reimbursed in addition to the main service in a fee-for-service setting. Accurate documentation, coding of the tests and supporting ICD diagnosis codes to support medical necessity are essential. Coding Tip The new Quality Family Planning Guidelines (QFP) from the CDC and OPA provides specific recommendations including testing relating to contraceptive services and should be reviewed by clinical staff. See Appendix A for QFP Check List 1 1 Family Planning National Clinical Training Center and CDC, April 2014, Checklist for Family Planning and Related Preventive Services, fpntc.org/sites/default/files/resource-library-files/jobaids_checklists_508.pdf Provided as reference only, codes subject to change, Version 1.40 June 1, 2017 Coding for Contraceptives 17

19 ABOUT UPSTREAM USA 10 Mission Upstream has developed a consulting and technical assistance practice for health centers to ensure that all women have access to a full range of contraceptive methods, particularly the most effective ones, IUDs and implants. Upstream s goal is to ensure that every child born in America is a planned for and wanted child, so that they can have very best start on life and improve outcomes for generations. Additional information: ABOUT THIS GUIDE This guide was created as an educational tool only to help providers and administrators better understand the proper codes used to identify and capture common contraceptive services for reimbursement purposes. Recommendations of code selection and claim submission should be based upon medical record documentation for services rendered for each individual encounter. Codes are subject to change. This guide is not intended to endorse any one method of contraception over another. Quality contraceptive care must always be patient-centered and responsive to individual preferences, needs, and values in accordance with the Quality Family Planning Guidelines outlined by the Center for Disease Control (CDC) and the Office of Population Affairs (OPA) Providing Quality Family Planning Services: Recommendations of CDC and the U.S. Office of Population Affairs, Recommendations and Reports, April 25, 2014, Provided as reference only, codes subject to change, Version 1.40 June 1, 2017 Coding for Contraceptives 18

20 Provided as reference only, codes subject to change, Version 1.40 June 2017 Coding for Contraceptives: Updated for ICD-10 CM 19

21 Provided as reference only, codes subject to change, Version 1.40 June 2017 Coding for Contraceptives: Updated for ICD-10 CM 20

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