2025 ICD-10-CM code Z30.09
(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 20: Factors influencing health status and contact with health services Feed
Encounter for other general counseling and advice on contraception.
Modifiers are not typically applied to ICD-10 codes.Modifiers are applied to procedure codes.
Medical necessity is established when the patient presents with a need for information and guidance on contraceptive options or family planning.This can be supported by the patient's age, sexual activity, reproductive history, or other relevant factors.The services provided should align with accepted clinical standards of care.
The clinical responsibility lies with the healthcare provider who provides the counseling and advice. This could include physicians, nurse practitioners, certified nurse-midwives, or other qualified healthcare professionals.
- Chapter 20: 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 someone goes to the doctor to talk about birth control options but doesn't get a prescription or have a procedure done that day.It's for general advice and information about different types of birth control.
This ICD-10-CM code signifies an encounter with healthcare services for general counseling and advice related to contraception, excluding specific contraceptive methods or procedures.It's used when a patient seeks information or guidance on various contraceptive options without receiving a specific prescription or undergoing a related procedure during that visit.The code encompasses discussions about different birth control methods, their effectiveness, risks, and benefits, as well as general family planning advice.
Example 1: A 22-year-old female patient presents for a consultation to discuss various birth control options. She is unsure which method is best suited for her and wants to explore different possibilities before making a decision.The physician spends time discussing various methods, including oral contraceptives, IUDs, and condoms, addressing her questions and concerns. No prescription is given at this visit., A 30-year-old couple seeks family planning advice. They are considering starting a family in the future and want guidance on optimizing their chances of conception. They discuss their reproductive health history and receive advice on timing intercourse and other lifestyle factors that can influence fertility., A 19-year-old patient presents after experiencing an unplanned pregnancy and requests counseling on different contraceptive methods to prevent future pregnancies. She receives information on various methods, their effectiveness and side effects. She chooses a method and receives a prescription.
The medical record should document the patient's reason for the visit, the topics discussed, and the advice provided.This may include information about different contraceptive options, a discussion of their risks and benefits, and any questions answered.If any additional tests or procedures were performed, they must be documented and coded accordingly.
** This code is for counseling only; if a specific contraceptive method is provided, additional codes are required.
- Revenue Code: Revenue codes will vary depending on the payer and the specific services provided. Consult your payer's guidelines.
- RVU: RVUs are not directly assigned to ICD-10 codes.Reimbursement is determined by the procedure codes used in conjunction with the Z code and the payer's fee schedule.
- Global Days: Not applicable. This is a diagnosis code, not a procedure code.
- Payment Status: Active
- Modifier TC rule: Not applicable.This is a diagnosis code.
- Fee Schedule: Not applicable.ICD-10 codes do not have associated fee schedules.Reimbursement is determined by procedure codes.
- Specialties:Family medicine, obstetrics and gynecology, reproductive endocrinology and infertility.
- Place of Service:Office, clinic, hospital outpatient department.