2025 ICD-10-CM code Z30.431
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Factors influencing health status and contact with health services - Persons encountering health services in circumstances related to reproduction Chapter 21: Factors influencing health status and contact with health services Feed
Encounter for routine checking of an intrauterine contraceptive device.
The medical necessity for a routine IUD check-up is established by the patient's need for ongoing contraceptive management and to ensure the device remains properly placed and effective.Regular monitoring can detect potential complications early and prevent more serious health issues. Frequency of checks varies but is typically determined by the healthcare provider based on factors such as the patient's age, medical history, and type of IUD.
The clinical responsibility for this code lies with the healthcare professional performing the IUD check-up. This typically involves a gynecologist or other qualified healthcare provider experienced in women's health.The physician's duties include conducting a pelvic examination, possibly using ultrasound to visualize the IUD, and assessing for any complications like displacement, perforation, or infection. Patient education on proper IUD management is also a part of the clinical encounter.
- Chapter 21: Factors influencing health status and contact with health services
- Z30-Z39: Persons encountering health services in circumstances related to reproduction
In simple words: This code is used when a woman goes to the doctor for a checkup of her IUD (intrauterine device) to ensure it's still in place and working correctly.It's just a routine check-up of the IUD.
This ICD-10-CM code signifies a healthcare encounter solely for the routine examination and assessment of an already-inserted intrauterine contraceptive device (IUD).The code is used when the primary reason for the visit is to check the IUD's position, integrity, and overall functionality, without any other significant medical procedures or diagnoses.This code does not encompass the initial placement, removal, or replacement of the IUD; those actions require separate codes.
Example 1: A 30-year-old woman presents for her routine annual gynecological examination, which includes a check-up of her IUD, which was inserted 18 months prior. No issues are noted, and the IUD remains in the correct position., A 25-year-old woman experiences some mild cramping and spotting, prompting her to schedule an appointment to have her IUD checked. The examination reveals the IUD is correctly placed, but the woman is reassured about her symptoms and receives appropriate counseling and advice., A 35-year-old woman, whose IUD was inserted six months ago, reports some increased bleeding. The physician conducts a thorough examination and finds the IUD is in the correct position. However, additional testing is ordered to investigate the abnormal bleeding, and the findings necessitate a subsequent visit and possible adjustment of treatment.
* Complete patient history, including any prior gynecological issues.* Documentation of the IUD type and insertion date.* Findings of the pelvic exam and any imaging studies (ultrasound).* Detailed documentation of the patient's symptoms and concerns.* Assessment of the IUD's position, integrity, and functionality.* Any recommendations or further actions required.* Counseling provided and any education given to the patient.
** This code should only be used for routine surveillance and not for any other procedures or diagnoses. Accurate documentation is crucial for appropriate reimbursement.
- Payment Status: Active
- Specialties:Obstetrics and Gynecology
- Place of Service:Office, Outpatient clinic