Start New EnglishEspañol中文РусскийالعربيةTiếng ViệtFrançaisDeutsch한국어Tagalog Library Performance
BETA v.3.0

2025 ICD-10-CM code Z30.4

Encounter for surveillance of contraceptives.

Always use the most specific code available. If a patient is seen for both the initial prescription and surveillance of a contraceptive, both appropriate codes should be reported. Ensure documentation supports the use of code Z30.4.

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.

IMPORTANT:Related codes may include Z30.01 (Encounter for initial prescription of contraceptives) for the initial visit to obtain contraceptives, and more specific codes within the Z30.4 series (e.g., Z30.43 for IUD surveillance) if applicable.

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.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

Discover what matters.

iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.