2025 ICD-10-CM code Z30.46
Encounter for surveillance of implantable subdermal contraceptive. This includes checking, reinsertion, or removal of the contraceptive.
Medical necessity for this code is established by the patient's need for surveillance, removal, or reinsertion of their implantable subdermal contraceptive.
The clinician is responsible for assessing the patient's needs related to their implantable subdermal contraceptive. This includes checking the implant site for any issues, discussing the patient's satisfaction with the method, and performing any necessary procedures, such as removal or reinsertion. Counseling and education about contraceptive options may also be part of the encounter.
- Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)
- Persons encountering health services in circumstances related to reproduction (Z30-Z3A)
In simple words: This code is used when you see a healthcare professional to check on your birth control implant, replace it, or have it taken out.
This code is used for encounters with health services for surveillance of an implantable subdermal contraceptive. This can include checking the implant, reinserting it, or removing it.It is important to note that a Z code indicates the reason for the encounter and should be accompanied by a procedure code if a procedure is performed.
Example 1: A patient presents for a routine check-up of her implantable subdermal contraceptive. The physician examines the implant site and confirms that it is in place and functioning correctly., A patient presents requesting removal of her implantable subdermal contraceptive. The physician removes the implant and discusses alternative contraceptive options with the patient., A patient with an implantable subdermal contraceptive presents with irregular bleeding. The physician evaluates the patient and determines that the implant is the cause of the bleeding. The physician discusses the risks and benefits of continuing with the implant versus switching to a different contraceptive method.
Documentation should include the reason for the encounter (e.g., routine check, removal request, complications), the condition of the implant site, any procedures performed (e.g., removal, reinsertion), and any counseling provided to the patient.
** It's important to remember that as of today, November 30, 2024, this information is current. However, medical coding and billing guidelines can be updated periodically, so it's essential to verify current information with official sources when necessary.For the most accurate and up-to-date information, consider consulting iFrameAI product instead of using ICD, CPT, HCPCS resources directly.
- Payment Status: Active
- Specialties:Family Medicine, Obstetrics and Gynecology, Women's Health, General Practice
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Clinic, etc.