Allowable Primary ICD-10 Codes for RHCare Clinics - Oregon

Allowable Primary ICD-10 Codes for RHCare Clinics

Contraceptive Services Oral Contraceptives (Pill)

Encounter for Prescription Encounter for Surveillance

Emergency Contraceptives (EC) Encounter for Prescription

Encounter for Prescription Injectable Contraceptive (Depo)

Encounter for Surveillance

Encounter for Prescription

Intrauterine Device (IUD) / Intrauterine System (IUS)

Encounter for Insertion Encounter for Surveillance Encounter for Removal and Reinsertion

Encounter for Removal

Contraceptive Ring

Encounter for Prescription Encounter for Surveillance

Contraceptive Patch

Encounter for Prescription Encounter for Surveillance

Implantable Subdermal Contraceptive (Implant)

Female Condom, Spermicide

Encounter for Prescription Encounter for Surveillance, includes checking, reinsertion, or removal Encounter for Prescription

Encounter for Surveillance

Male Condom, Sponge

Encounter for Prescription Encounter for Surveillance

NFP/FAM

Encounter for Counseling

Counseling for Pre-Sterilization

Sterilization

Encounter for Sterilization Procedure

Abstinence, Withdrawal, Other

Unspecified Contraceptive Management

Post-Vasectomy Sperm Count

Encounter for general counseling, contraception Encounter for contraceptive management, unspecified Encounter for surveillance of contra, unspecified

ICD-10 Z30.011 Z30.41 Z30.012 Z30.013 Z30.42 Z30.014 Z30.430 Z30.431 Z30.433 Z30.432 Z30.015 Z30.44 Z30.016 Z30.45 Z30.017

Z30.46

Z30.018 Z30.49 Z30.019 Z30.8 Z30.02 Z30.09 Z30.2 Z30.8

Z30.09

Z30.9

Z30.40

Staff Tool: Billing

February 2021

1

Allowable Primary ICD-10 Codes for RHCare Clinics

Well-Woman/Adolescent Care*

ICD-10

*Must have a Z30.xx, Z31.xx, or Z32.xx secondary diagnosis code (positions 2-6)

General Adult Medical Exam

Gynecological Exam (general) (routine)

Child Health Exam (routine)

Encounter no abnormal findings Encounter with abnormal findings Encounter no abnormal findings Encounter with abnormal findings Encounter no abnormal findings Encounter with abnormal findings

Z00.00 Z00.01 Z01.419 Z01.411 Z00.129 Z00.121

Pregnancy Services Achieving Pregnancy Screening for Pregnancy

Procreative management Procreative counseling and advice using NFP Fertility preservation counseling Preconception counseling Pregnancy test, result unknown Pregnancy test, result positive Pregnancy test, result negative

ICD-10 Z31.9 Z31.61 Z31.62 Z31.69 Z32.00 Z32.01 Z32.02

Screening for cervical cancer and rescreening

ICD-10

Screening

Screening for malignant neoplasm of cervix (not part of routine gynecological exam)

Z12.4

Dysplasia of cervix uteri

N87.x

Rescreening

Abnormal cytological findings in specimens from cervix uteri

R87.61x

Cervical smear to confirm findings of recent normal smear following initial abnormal

Z01.42

Staff Tool: Billing

February 2021

2

Allowable Primary ICD-10 Codes for RHCare Clinics

Treatment and Rescreening for Chlamydia and gonorrhea*

ICD-10

*Must be pursuant to a previous visit (CVR submitted for prior visit within 1 year of this

DOV)

Chlamydial infection of lower genitourinary tract, unspecified

A56.00

Chlamydial cystitis and urethritis

A56.01

Chlamydial vulvovaginitis

Other chlamydial infection of lower genitourinary tract Chlamydial female pelvic inflammatory disease

A56.02 A56.09 A56.11

Chlamydia

Other chlamydial genitourinary infection Chlamydial infection of genitourinary tract, unspecified Chlamydial infection of anus and rectum

A56.19 A56.2 A56.3

Chlamydial infection of pharynx

A56.4

Sexually transmitted chlamydial infection of other sites

A56.8

Chlamydia, unspecified

A74.9

Gonococcal infection of lower genitourinary tract, unspecified

A54.00

Gonococcal cystitis and urethritis, unspecified

A54.01

Gonococcal vulvovaginitis, unspecified

A54.02

Gonorrhea

Gonococcal cervicitis, unspecified

A54.03

Other gonococcal infection of lower genitourinary tract Gonococcal infection of lower genitourinary tract with periurethral and accessory gland abscess

A54.09 A54.1

Gonococcal infection of kidney and ureter

A54.21

Gonococcal prostatitis

A54.22

Gonococcal infection of other male genital organs A54.23

Gonococcal female pelvic inflammatory disease A54.24

Other gonococcal genitourinary infections

A54.29

Gonococcal pharyngitis

A54.5

Gonococcal infection of anus and rectum

A54.6

Rescreening

Gonococcal infection, unspecified

Follow-up exam after completed treatment for conditions other than malignant neoplasm Observation for other suspected diseases and conditions ruled out

A54.9 Z09 Z03.89

Staff Tool: Billing

February 2021

3

Allowable Primary ICD-10 Codes for RHCare Clinics

Only allowed for individuals who live in Oregon and have: 'Another immigration status' and 'Sex at birth = Female'

STIs Counseling

HIV counseling

Other specified counseling (non-HIV) Screening for infections with predominantly sexual mode of transmission Screening, HIV

Screening, HPV

Screening for other viral diseases Screening for other infectious and parasitic diseases STI contact /(suspected) exposure

HIV contact /(suspected) exposure

ICD-10 Z71.7 Z71.89

Z11.3

Z11.4 Z11.51 Z11.59 Z11.8 Z20.2 Z20.6

Well-Woman/Adolescent Care

No secondary diagnosis code requirements for this population

General Adult Medical Exam

Gynecological Exam (general) (routine)

Child Health Exam (routine)

Encounter no abnormal findings Encounter with abnormal findings Encounter no abnormal findings Encounter with abnormal findings Encounter no abnormal findings Encounter with abnormal findings

ICD-10

Z00.00 Z00.01 Z01.419 Z01.411 Z00.129 Z00.121

Staff Tool: Billing

February 2021

4

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download