Contraception / Well Woman 

Family Planning

Common ICD-10 Codes

Z11.51 - ENCOUNTER FOR SCREENING FOR HUMAN PAPILLOMAVIRUS (HPV)

Z30.430 - ENCOUNTER FOR INSERTION OF INTRAUTERINE CONTRACEPTIVE DEVICE

Z30.432 - ENCOUNTER FOR REMOVAL OF INTRAUTERINE CONTRACEPTIVE DEVICE

For more detailed or additional ICD-10 diagnoses coding, please reference any AMA certified coding software or look-up tools and manuals. Please, do NOT use google or other internet search engines for coding. 

57170 - Diaphragm or Cervical Cap Fitting with Instructions

58300 - Insertion of Intrauterine Device (IUD)

58301 - Removal of Intrauterine Device (IUD)

A4266 - DIAPHRAGM

J7298 - MIRENA IUD, 52 MG

J7300 - IUD COPPER- PARAGARD

J7301 - IUD-SKYLA

Q0091 - PAP COLLECTION

New Patient 

CCI Edits may prevent billing more than 1 professional service on the same day with the same provider. Click on a code for more information.

Common ICD-10 Codes

Z30.011 - ENCOUNTER FOR INITIAL PRESCRIPTION OF CONTRACEPTIVE PILLS

Z00.00 - ENCOUNTER FOR GENERAL ADULT MEDICAL EXAMINATION WITHOUT ABNORMAL FINDINGS

Z01.419 - ENCOUNTER FOR GYNECOLOGICAL EXAMINATION (GENERAL) (ROUTINE) WITHOUT ABNORMAL FINDINGS​

For more detailed or additional ICD-10 diagnoses coding, please reference any AMA certified coding software or look-up tools and manuals. Please, do NOT use google or other internet search engines for coding. 

99384 - New Patient, Initial Comprehensive Preventative Medicine (age 12-17 years)

99385 - New Patient, Initial Comprehensive Preventative Medicine (Age 18-39 years)

99386 - New Patient, Initial Comprehensive Preventative Medicine (Age 40-64 years)

99387 - New Patient, Initial Comprehensive Preventative Medicine (age 65 years and older)

99401 - New or Established Patient, Preventive Medicine Counseling (15mins)

99402 - New or Established Patient, Preventive Medicine Counseling (30mins)

99403 - New or Established Patient, Preventive Medicine Counseling (45mins)

99404 - New or Established Patient, Preventive Medicine Counseling (60mins)

99201 - LEVEL 1 New Patient, Office or other Outpatient Visit, Problem Focused

99202 - LEVEL 2 New Patient, Office or other Outpatient Visit, Expanded Problem Focused

99203 - LEVEL 3 New Patient, Office or other Outpatient Visit, Detailed

99204 - LEVEL 4 New Patient, Office or other Outpatient Visit, Comprehensive

99205 - LEVEL 5 New Patient, Office or other Outpatient Visit, Complex

99241 - LEVEL 1 New or Established Patient Office or Other Outpatient Consultation Services

99242 - LEVEL 2 New or Established Patient Office or Other Outpatient Consultation Services

99243 - LEVEL 3 New or Established Patient Office or Other Outpatient Consultation Services

99244 - LEVEL 4 New or Established Patient Office or Other Outpatient Consultation Services

99245 - LEVEL 5 New or Established Patient Office or Other Outpatient Consultation Services

99341 - LEVEL 1 New Patient, Home Visit, Problem Focused

99342 - LEVEL 2 New Patient, Home Visit, Expended Problem Focused

99343 - LEVEL 3 New Patient, Home Visit, Detailed

99344 - LEVEL 4 New Patient, Home Visit, Comprehensive

99345 - LEVEL 5 New Patient, Home Visit, Complex

99354 - Prolonged Evaluation and Management; First Hour (Telemedicine, office or other outpatient setting)

99355 - Prolonged Evaluation and Management, Each additional half hour (telemedicine, office or other outpatient setting)

Established Patient

CCI Edits may prevent billing more than 1 professional service on the same day with the same provider. Click on a code for more information. 

Common ICD-10 Codes

Z30.09 - ENCOUNTER FOR OTHER GENERAL COUNSELING AND ADVICE ON CONTRACEPTION

Z00.00 - ENCOUNTER FOR GENERAL ADULT MEDICAL EXAMINATION WITHOUT ABNORMAL FINDINGS

Z01.419 - ENCOUNTER FOR GYNECOLOGICAL EXAMINATION (GENERAL) (ROUTINE) WITHOUT ABNORMAL FINDINGS​

Z30.431 - ENCOUNTER FOR ROUTINE CHECKING OF INTRAUTERINE CONTRACEPTIVE DEVICE

For more detailed or additional ICD-10 diagnoses coding, please reference any AMA certified coding software or look-up tools and manuals. Please, do NOT use google or other internet search engines for coding. 

99211 - LEVEL 1 Established Patient, Office or other Outpatient Visit, Minimal

99212 - LEVEL 2 Established Patient, Office or other Outpatient Visit, Problem Focused

99213 - LEVEL 3 Established Patient, Office or other Outpatient Visit, Expanded Problem Focused

99214 - LEVEL 4 Established Patient, Office or other Outpatient Visit, Detailed

99215 - LEVEL 5 Established Patient, Office or other Outpatient Visit, Comprehensive

99241 - LEVEL 1 New or Established Patient Office or Other Outpatient Consultation Services

99242 - LEVEL 2 New or Established Patient Office or Other Outpatient Consultation Services

99243 - LEVEL 3 New or Established Patient Office or Other Outpatient Consultation Services

99244 - LEVEL 4 New or Established Patient Office or Other Outpatient Consultation Services

99245 - LEVEL 5 New or Established Patient Office or Other Outpatient Consultation Services

99347 - LEVEL 1 Established Patient, Home Visit, Problem Focused

99348 - LEVEL 2 Established Patient, Home Visit, Straightforward

99349 - LEVEL 3 Established Patient, Home Visit, Detailed

99350 - LEVEL 4 Established Patient, Home Visit, Comprehensive - Not Reimbursed by medicaid for CDMs or CPMs 

99354 - Prolonged Evaluation and Management; First Hour (Telemedicine, office or other outpatient setting)

99355 - Prolonged Evaluation and Management, Each additional half hour (telemedicine, office or other outpatient setting)

99394 - Established Patient, Periodic Comprehensive Preventative Medicine (age 12-17 years)

99395 - Established Patient, Periodic Comprehensive Preventative Medicine (Age 18-39 years)

99396 - Established Patient, Periodic Comprehensive Preventative Medicine (Age 40-64 years)

99397 - Established Patient, Periodic Comprehensive Preventative Medicine (age 65 and older)

99401 - New or Established Patient, Preventive Medicine Counseling (15mins)

99402 - New or Established Patient, Preventive Medicine Counseling (30mins)

99403 - New or Established Patient, Preventive Medicine Counseling (45mins)

99404 - New or Established Patient, Preventive Medicine Counseling (60mins)

99441 - Telephone E/M service by physician or other healthcare professional not originating from a related EM service from previous 7 days nor leading to a service within 24hrs or soonest available appt. (5-10mins)

99442 - Telephone E/M service by physician or other healthcare professional not originating from a related EM service from previous 7 days nor leading to a service within 24hrs or soonest available appt. (11-20mins)

99443 - Telephone E/M service by physician or other healthcare professional not originating from a related EM service from previous 7 days nor leading to a service within 24hrs or soonest available appt. (21-30mins)