contraception

  1. J

    Wiki Infected Nexplanon

    Two visits a month apart. 1st was for the insertion of the Nexplanon (11981/j7307). Then weeks later came in, Nexplanon was found to be too superficial and now infected. So, removed and re-inserted in other arm (11983-52 (reduced service to reduce charge since it's not really patient's fault for...
  2. H

    Wiki contraception initiation

    I understand that birth control counseling is included in the preventative visit. If the patient is counseled and decides on a new form of contraception should that go on a separate E/M? That is how I have been instructed to do it, which seems wrong to me. Does the insurance company still pay...
  3. F

    Wiki Tubal ligation reversal STATUS only - ICD-10

    Hello, I've been looking for an ICD-10 that best reflects the "tubal ligation reversal status" condition. The codes below don't seem to match my scenario, according to their description: Z31.0 = Encounter for reversal of previous sterilization (I believe this code is used when the patient...
  4. N

    Wiki NDC/HCPCS Unit Discrepancy for OCs

    Hi all, Longtime reader, first time poster! I am trying to help a Montana provider fix a billing issue with BCBS. The payer states that the NDC and HCPCS unit numbers for oral contraceptives (S4993) should be per pill. This is inconsistent with how they've billed BCBS in the past, as well as...
  5. A

    Wiki How long is long term?

    Does anyone know if there is a specific amount of time a patient needs to be on medication (specifically contraception) for it to be considered long term use? Is it a year?
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