No separate supply code for Essure sterilization procedure

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews coding and reimbursement guidance surrounding the Essure sterilization procedure. It is aimed at professional coders, ObGyn practices, and billing staff who need a high-level understanding of how the procedure, related follow-up services, and associated diagnosis coding are discussed in the context of Medicare, HCPCS, CPT, and ICD-9-CM guidance.

Why This Topic Matters

The topic matters because it addresses whether supplies tied to a sterilization procedure can be billed separately and clarifies the broader coding context around the procedure and its follow-up services.

Article Sections

  1. Supply payment and payer coverage

    Discusses how the procedure is covered by payers and how supply payment is addressed in the reimbursement context.

  2. Unilateral services

    Covers the scenario in which only one side is treated and notes the related billing context.

  3. Other billable services

    Summarizes additional services discussed in connection with the procedure, including follow-up care and imaging.

  4. Diagnosis codes and CCI edits

    Reviews the diagnosis-code context and mentions related procedure-code edit considerations.

  5. What is the Essure technique

    Provides a general overview of the device-based sterilization technique and how it is described in clinical terms.

What You Will Learn

  • How the article frames reimbursement and supply payment for a device-based sterilization procedure
  • Which related services are discussed alongside the primary procedure
  • What diagnosis-code categories are mentioned in connection with the procedure
  • How the article describes the technique at a broad clinical level

Who Should Read This

  • Medical coders
  • ObGyn billing staff
  • Revenue cycle professionals
  • Practice managers
  • Compliance staff

Codes Discussed

Code Ranges Discussed

  • ICD-9-CM: 630-677
  • ICD-9-CM: V22.0-V23.9

Modifiers Discussed


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