Ob-Gyn Coding Alert
Watch For More Specific Counseling for Contraception 'Z' Codes in 2014
Your physician should be documenting what type of contraception being discussed.
Patients may present to your practice to discuss contraceptive measures and do not have a specific complaint. In this case, you should report one of these encounter or counseling codes.
Right now, you should report this service with one of the following ICD-9-CM codes:
ICD-10-CM: When October 1, 2014 hits, you should shift to the following options:
Difference: You have some direct one-to-one correlations, but you also have some expanded options. For instance, you will have a direct one-to-one correlation between ICD-9-CM code V25.01 and ICD-10-CM code V30.011. Also, V25.03 maps directly to Z30.012; V25.04 maps directly to Z30.02; and V25.09 maps directly to Z30.09. However, V25.02 expands to Z30.013, Z30.014, Z30.018, as well as Z30.019.
Documentation: If your provider documents “encounter for family planning advice NOS,” then you should report Z30.09.
Here is how you will locate these codes in the Alphabetic Index:
Admission (for) —see also Encounter (for)
- intrauterine device management Z30.431
-- initial prescription Z30.014
Contraception, contraceptive
- advice Z30.09
- counseling Z30.09
- device (intrauterine) (in situ) Z97.5
• -- initial prescription Z30.014
• -- emergency (postcoital) Z30.012
- initial prescription Z30.019
-- injectable Z30.013
-- intrauterine device Z30.014
-- pills Z30.011
-- postcoital (emergency) Z30.012
-- specified type NEC Z30.018
-- subdermal implantable Z30.019
- postcoital (emergency) Z30.012
- prescription Z30.019
Counseling (for) Z71.9
- contraceptive Z30.09
- natural family planning
-- to avoid pregnancy Z30.02
Family, familial —see also condition
- planning advice Z30.09
Prescription of contraceptives (initial) Z30.019
- emergency (postcoital) Z30.012
- implantable subdermal Z30.019
- injectable Z30.013
- intrauterine contraceptive device Z30.014
- pills Z30.011
- postcoital (emergency) Z30.012
- specified type NEC Z30.018
Coder tips: Underneath the Z30.01 category, you will see an Excludes1 note that prevents you from reporting any of these codes with an encounter for surveillance of contraceptives (Z30.4-).
Also, underneath Z30.014, you will find an Excludes1 note that prevents you from reporting this code with encounter for insertion of intrauterine contraceptive device (Z30.430, Z30.432).
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