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BETA v.3.0

2025 ICD-10-CM code Z30.45

Encounter for surveillance of transdermal patch hormonal contraceptive device.

A Z code should not be used as a primary diagnosis if a related definitive diagnosis exists. If a procedure is performed during the encounter, a procedure code should accompany this Z code.

Medical necessity for this encounter is established by the need for ongoing monitoring and management of hormonal contraceptive use to ensure its safety and effectiveness.

The clinician is responsible for evaluating the patient's continued use of the transdermal contraceptive patch, addressing any concerns, and ensuring its efficacy and safety for the patient.

In simple words: This code is used when you visit a doctor or other healthcare provider to check on how your birth control patch is working and to discuss any concerns.

This code is used for encounters with a healthcare professional for the purpose of monitoring or checking the effectiveness and any potential side effects of a transdermal (skin) patch hormonal contraceptive device.

Example 1: A patient has been using a transdermal contraceptive patch for three months and visits her physician for a routine follow-up to discuss its effectiveness and any side effects., A patient experiences skin irritation at the patch application site and consults her dermatologist for advice on managing the local reaction while continuing contraception., A patient who recently started using the contraceptive patch presents with concerns about irregular bleeding and seeks medical advice from her gynecologist.

The medical record should document the reason for the encounter, such as routine surveillance, management of side effects, or concerns about efficacy. Details of the patient's experience with the contraceptive patch, including any adverse reactions or questions, should be noted.

** This code specifically refers to surveillance of the transdermal patch hormonal contraceptive device, not other forms of contraception. Please refer to other Z codes for surveillance of other methods (pills, injectable, IUD, ring, implant, etc.).

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