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
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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