Use E/M codes to bill Mifeprex abortion

Why This Topic Matters

Correct reporting for medication-based abortion care depends on recognizing which parts of the encounter are billed separately and which code families may apply. The article helps coders understand the overall structure of the service and the coding references involved.

Article Sections

1. First visit components

   Introduces the main elements commonly included in the initial visit and how the encounter is generally reported. It also notes the role of counseling, documentation, and time-based selection for the visit code.

2. Ultrasound and medication reporting

   Covers separate reporting considerations for imaging and for the medication or supply provided during the initial visit. It discusses how payer preferences may affect whether drug or supply codes are used.

3. Second and third visits

   Summarizes the general purpose of follow-up encounters and how they are typically reported. It also notes what may happen if the treatment is not completed as expected.

4. Related procedure coding for non-oral methods

   Provides broader reference points for related abortion procedures involving other medication routes or surgical management. It distinguishes these situations from the oral-medication scenario covered earlier in the article.