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2025 ICD-10-CM code Z30.02

Counseling and instruction in natural family planning to avoid pregnancy.

A Z code should not be used as a primary diagnosis if the patient has an active medical condition requiring treatment.If the encounter is solely for family planning counseling, Z30.02 is appropriate as the first-listed diagnosis.A procedure code describing the type of counseling delivered may be reported with this diagnosis.

Medical necessity for this code is established when a patient seeks counseling and instruction on natural family planning methods for the purpose of avoiding pregnancy. This aligns with patient autonomy and informed decision-making regarding reproductive health.The counseling is considered a preventive service supporting informed choices regarding family planning.

The healthcare provider is responsible for providing counseling and instruction on natural family planning methods, explaining how they work and how to use them effectively to avoid pregnancy.This may involve tracking cycle length, monitoring basal body temperature, observing cervical mucus changes, educating the patient on cycle variations and potential difficulties, and confirming understanding of the chosen method.

In simple words: This code is used when a woman receives counseling and instruction on natural family planning methods to avoid pregnancy.

Counseling and instruction in natural family planning to avoid pregnancy. This includes methods such as the Billings ovulation method, the Creighton Model FertilityCare System, and the symptothermal method.

Example 1: A 25-year-old woman who is planning to get married in six months visits her gynecologist for preconception counseling. She is interested in learning about natural family planning to avoid pregnancy. The gynecologist provides her with detailed information about the Billings ovulation method, and how to track her cycle to determine her fertile window., A 32-year-old woman who is currently breastfeeding her six-month-old baby visits her family physician for advice on contraception. She does not want to use hormonal methods of contraception while breastfeeding. The physician provides her with information on the symptothermal method, which combines basal body temperature and cervical mucus monitoring to identify fertile days., A couple who has been married for two years and wishes to space their pregnancies visits a fertility awareness educator.They receive personalized training in the Creighton Model FertilityCare System and charting to understand the woman's fertility cycle and practice natural family planning.

Documentation should include the type of natural family planning method discussed and the instructions provided to the patient, including any educational materials or resources offered. Patient understanding and any concerns raised during the counseling should also be documented.

** This code is exempt from the Present on Admission (POA) reporting requirement.

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