2025 ICD-10-CM code Z30.4
(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 (Z30-Z39) Factors influencing health status and contact with health services (Z00-Z99) Feed
Encounter for surveillance of contraceptives.
Modifiers are not directly applicable to ICD-10 codes. Modifiers apply to procedure codes (CPT codes).
Medical necessity for this code is established by the need to monitor the effectiveness and safety of the contraceptive method, assess for side effects, and make adjustments to the plan of care as needed to ensure patient well-being.
The clinical responsibility includes assessment of the patient's contraceptive method, reviewing any potential side effects, addressing any patient concerns, and providing appropriate counseling and adjustment to the contraceptive regimen as needed.
- Factors influencing health status and contact with health services (Z00-Z99)
- Z30-Z39: Persons encountering health services in circumstances related to reproduction
In simple words: This code is used when someone goes to the doctor for a checkup related to their birth control.The doctor checks to see if the birth control is working correctly and if there are any side effects.This visit is for monitoring and follow-up; it is not the initial visit to get birth control.
This ICD-10-CM code signifies a patient encounter specifically for the monitoring and assessment of contraceptive methods.It encompasses check-ups, evaluations of side effects, and adjustments to the contraceptive regimen. This code is used when a patient is already using a contraceptive and returns for follow-up care.It does not include the initial prescription or insertion of the contraceptive device.
Example 1: A patient using oral contraceptives returns for a routine three-month check-up to discuss any side effects and ensure continued effectiveness., A patient using a hormonal IUD presents for a follow-up visit to ensure proper placement and assess for any complications., A patient using a contraceptive patch has experienced irregular bleeding and seeks medical advice for managing this side effect.
Documentation should include the type of contraceptive used, the duration of use, any reported side effects, the patient's medical history, and the physician's assessment and plan of care.Any changes made to the contraceptive regimen should be documented clearly.
** This code should only be used for surveillance visits; it should not be used for the initial prescription or insertion of the contraceptive device.Always refer to the official ICD-10-CM coding guidelines for the most current information.
- Revenue Code: Revenue codes will vary depending on the payer and the services provided.Consult your payer's specific guidelines.
- RVU: RVUs are not directly associated with ICD-10 codes.Reimbursement is determined by the procedures performed (CPT codes) and other factors.
- Global Days: Not applicable to ICD-10 codes.
- Payment Status: Active
- Modifier TC rule: Not applicable to ICD-10 codes.
- Fee Schedule: Not applicable to ICD-10 codes. Reimbursement is based on the procedures performed (CPT codes) and payer-specific rules.
- Specialties:Obstetrics and Gynecology, Family Medicine
- Place of Service:Office, Outpatient Clinic