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2025 ICD-10-CM code Z30.49

Encounter for surveillance of other contraceptives.

A corresponding procedure code must accompany this Z code if a procedure is performed during the encounter. Do not use this code if the patient is encountering health services for the initial prescription or insertion of a contraceptive method; alternative codes describe those scenarios.

Medical necessity for this code is established by the need for ongoing monitoring and management of the patient's contraceptive method.

The clinician is responsible for evaluating the patient's continued use of their chosen contraceptive method, addressing any concerns or side effects, and ensuring the method's effectiveness.

IMPORTANT:Other Z30.4 subcategories specify surveillance of other types of contraception:* Z30.40: Encounter for surveillance of contraceptives, unspecified* Z30.41: Encounter for surveillance of contraceptive pills* Z30.42: Encounter for surveillance of injectable contraceptive* Z30.43: Encounter for surveillance of intrauterine contraceptive device* Z30.44: Encounter for surveillance of vaginal ring hormonal contraceptive device* Z30.45: Encounter for surveillance of transdermal patch hormonal contraceptive device* Z30.46: Encounter for surveillance of implantable subdermal contraceptive*Related HCPCS codes for contraceptive supplies include A4261, A4266, A4267, A4268, A4269, J7296, S4981, and S4989.

In simple words: This code is used for a visit to a healthcare provider to check on the effectiveness of a contraceptive method not covered by other codes, such as diaphragms, condoms, or spermicides.

Encounter for surveillance of other contraceptives, such as barrier methods (e.g., diaphragm, cervical cap, condoms), spermicides, or other non-hormonal or hormonal methods not otherwise specified.

Example 1: A patient using a diaphragm has a follow-up appointment to check the fit and discuss any issues., A patient using condoms comes in for a routine check-up and to receive additional supplies., A patient who has been using a fertility awareness method has a follow-up appointment to discuss their experience and any questions.

Documentation should include the type of contraceptive being used, any concerns or side effects reported by the patient, examination findings (if applicable), and any counseling provided.

** This code is not to be used for encounters related to the investigation or treatment of infertility or problems with conceiving.

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