WHEN CUSTOMIZING, INCLUDE ONLY LABS, DRUGS, & PROCEDURES PROVIDED ONSITE FAMILY PLANNING SERVICES
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1 Family PACT Sample WHEN CUSTOMIZING, INCLUDE ONLY LABS, DRUGS, & PROCEDURES PROVIDED ONSITE Client Name: DOB: Service Date: Telephone: Alt. Contact: M.R. # HAP #: Exp. Date: Return: FAMILY PLANNING SERVICES Family Planning Diagnosis Codes ICD-10-CM Codes Contraceptive-related Laboratory Tests Z EC counseling and prescription See PPBI ben fam and lab for covered tests Z30.09 Contraceptive counseling & advice and restricitions. (without initiating method) Z OC initial prescription STI Risk Factor ICD-10-CM Codes: Z30.41 OC surveillance GC/CT Screening Z Initial prescription (patch, ring) Codes are required by Laboratory Z30.49 Surveillance (patch, ring) Providers Z Injectable contraceptive initiation Z20.2 Contact with/exposure to STI(s) Z30.42 Injectable contraceptive surveillance Z22.4 Carrier of STI (s) Z Subdermal implant insertion Z72.51 High risk heterosexual behavior Z30.8 Subdermal implant surveillance Z72.52 High risk homosexual behavior Z IUC insertion Z72.53 High risk bisexual behavior Z IUC surveillance Z86.19 Retest 3 month post treatment Z IUC removal GC/CT Z IUC removal and reinsertion Z11.3 High prevalence locality Z Female barrier/spermicide initiate (F) (GC >1%) Z30.9 Male condoms/spermicide initiate (M/F) Z11.8 High prevalance locality Z30.40 Barrier/spermicide surveillance (M/F) (CT >3%) Z30.02 Counsel NFP to avoid pregnancy Z31.61 Procreative counseling, NFP Diagnostic STI Services Z30.09 Counseling on sterilization (M/F) See PPBI ben fam rel for covered lab tests, Z30.2 Sterilization surgery (M/F) services and restrictions. Z Preprocedure labs (M/F) Use back of Superbill. (bill with Z30.09) Z Preprocedure exam (F) (bill with Z30.09) Z98.51 Tubal ligation status Z98.52 Vasectomy status
2 FAMILY PLANNING SERVICES Office Visit Office Procedures New Client Education & Management See Medi-Cal Part 2 for surgical & supplies Problem Focused or 10 mins (M/F) modifiers Expanded Problem Focused or Implant insertion 20 mins (M/F) Implant removal Detailed or 30 mins (M/F) Insert IUC Comprehensive or 45 mins (F) Remove IUC Complications Only (M) Vasectomy Diaphragm fitting Established Client Education & Management Hysteroscopic sterilization Minimal or 5 mins (M/F) (Essure) Problem Focused or 10 mins (M/F) Expanded Problem Focused or Additional Procedures (no TAR required) 15 mins (M/F) Z30.431IUC surveillance Comprehensive or 25 mins (F) Indication: missing IUC Complications Only (M) strings/malpositioned IUC X-ray exam abdomen; single AP Education & Counseling Ultrasound, transvaginal S9446 Group (M/F) or Ultrasound, pelvic (non-ob); S9445 Individual 10 mins (M/F) limited strings/malpositioned IUC U6 15 mins counseling time (M/F) Z30.8 Subdermal implant surveillance U6 30 mins counseling time (M/F) Indication: Impalpable subdermal implant U6 45 mins counseling time (M/F) X-ray exam, humerus, two views One time only codes. See PPBI office Ultrasound, extremity; limited Time interval if more than 50% was spent on counseling. See PPBI office. No more than one per day and two visits, in any combination, in rolling 30 days. See PPBI office. Page 2 of 7 Rev. 10/01/15
3 FAMILY PLANNING SERVICES Drugs/Contraceptive Supplies/Devices Labs Provider Performed Provider administered drugs & onsite dispensing (with CLIA Certification) must include NDC Urine pregnancy test A4264 Intratubal microinsert (Essure) HCT, spun (modifier -50 or -52) (see PPBI for restrictions) A4267 Male condoms Hematocrit A4268 Female condoms (see PPBI for restrictions) A4269 U1 Spermicide gel/jelly/foam/cream Hemoglobin A4269 U2 Spermicidal suppository (see PPBI for restrictions) A4269 U3 Spermicidal vaginal film HIV-1 A4269 U4 Spermicidal sponge HIV-1 & HIV-2 single result S5199 Lubricant See back for additional provider performed S4993 OCs lab tests. J3490 U8 DMPA injection J7303 Ring Blood Draw & Handling J7304 Patch Blood specimen handling and/or J3490 U5 EC - ulipristal acetate* conveyance to unaffiliated lab J3490 U6 EC - levonorgestrel* J7307 Etonogestrel Implant J7300 Copper IUD J7301 Levonorgestrel IUD 13.5 mg J7302 Levonorgestrel IUD 52mg S5000** or Estradiol (with code N92.1) S5001** * One (1) pack per dispensing, with a combined (ulipristal acetate and levonorgestrel) maximum of six (6) packs in any 12-month period. ** See reverse for additional use of S5000/S5001. See PPBI ben grid and drug for contraceptive maximum quantity and earliest refill. Complication Management (TAR Required) See PPBI ben fam and ben fam rel for codes and services for management of complications. Complication ICD-10-CM Code Additional ICD-10-CM Code Procedure/Code(s): Supplies/Code(s): Other Services/Code(s): Page 3 of 7 Rev. 10/01/15
4 Acknowledgement By signing below, I acknowledge that I have received the services noted on this form including products/presecriptions, drugs/devices given onsite or by written order, and/or that I have given a specimen for the performance of a laboratory test or examination. Print Name: Signature: Print Clinician Name: Date: Clinician Signature: Date: Itemize dose, quantity, cost, and dispensing fee of Drugs/Supplies in ADDITIONAL CLAIM INFORMATION or REMARKS field on claim. Page 4 of 7 Rev. 10/01/15
5 Family PACT Sample WHEN CUSTOMIZING, INCLUDE ONLY LABS, DRUGS, & PROCEDURES PROVIDED ONSITE FAMILY PLANNING - RELATED SERVICES Chlamydia Herpes, Genital A56.01 Ct, cystitis/urethritis (M/F) A60.01 Herpesviral infection of penis A56.09 Ct, lower GU, cervix (F) A60.04 Herpesviral vulvovaginitis A56.3 Ct, anus and rectum (M/F) N48.5 Ulcer of penis N34.2 Other urethritis (M) N76.6 Ulceration of vulva N45.3 Epididymo-orchitis (M) Drugs Quantity/NDC: N72 Cervicitis (F) Acyclovir 200/400/800 mg** N89.8 Indication: Leukorrhea NOS (F) N94.1 Dyspareunia (F) Warts, Genital Only R10.2 Pelvic and perineal pain (F) A63.0 Anogenital warts (M/F) R30.0 Dysuria (M/F) B07.9 Viral warts, unspec (M/F) R30.9 Painful micturition, unspec (M/F) B08.1 Molluscum contagiosum (M/F) Z20.2 Ct exposed partner (M/F) Procedures Labs See Medi-Cal Part 2 for surgical and supplies Gram stain (symptomatic males only) modifiers. Drugs Quantity/NDC: Chem destr, penile lesion Q0144 Azithromycin 500 mg tabs/1gm pkt Cryo destr, penile lesion Doxycycline 100 mg tabs** Biopsy, penis Destruction vulvar lesion Destruction vaginal lesion Gonorrhea Biopsy, vulva A54.01 GC cystitis/urethritis, unspec (M/F) Drugs Quantity/NDC: A54.03 GC cervicitis, unspec (F) Imiquimod 5% cream** A54.22 GC prostatitis (M) Podofilox 0.5% solution/gel** A54.5 GC pharyngitis (M/F) A54.6 GC infection anus/rectum (M/F) Syphilis N34.2 Other urethritis (M) A51.0 Primary (M/F) N45.3 Epididymo-orchitis (M) A51.31 Condyloma latum (M/F) N72 Cervicitis (F) A51.39 Other secondary syphilis of skin N89.8 Indication: Leukorrhea NOS (F) (M/F) N94.1 Dyspareunia (F) A51.5 Early syphilis, latent (M/F) R10.2 Pelvic & perineal pain (F) A52.8 Late syphilis, latent (M/F) R30.0 Dysuria (M/F) A53.0 Latent syphilis, unspec (M/F) R30.9 Painful micturition, unspec (M/F) N48.5 Ulcer of penis (M) Z20.2 GC exposed partner (M/F) N76.6 Ulceration of vulva, unspec (F) Labs Z20.2 Syphilis exposed partner (M/F) Gram stain (symptomatic males only) Drugs Quantity/NDC: Drugs Quantity/NDC: J0561 Benzathine PCN 100,000 units/cc Cefixime 400 mg tab** J0696 Ceftriaxone 250 mg IM Q0144 Azithromycin 500 mg tabs/1 gm pkt Doxycyline 100 mg tabs** Page 5 of 7
6 Trichomoniasis Urinary Tract Infections (Females Only) A59.01 Trichomonal vulvovaginitis (F) N30.00 Acute cystitis without hematuria A59.03 Trichomonal cystitis & urethritis N30.01 Acute cystitis with hematuria (M/F) R10.30 Lower abdominal pain, unspec N34.2 Other urethritis (M) R30.0 Dysuria Z20.2 Trichomoniasis exposed partner R30.9 Painful micturition, unspec (M/F) R31.0 Gross hematuria Labs R35.0 Frequency of micturition ph (Females only) Labs (symptomatic females only) Q0111 Wet mount (provider performed) Urinalysis, dipstick with micro Drugs Quantity/NDC: Urinalysis dipstick without micro Metronidazole 500 mg tabs** Urine microscopy Drugs Quantity/NDC: Cephalexin 250/500 mg tabs** Vulvovaginitis Ciprofloxacin 250 mg tabs** B37.3 Candidiasis vulva/vagina TMP/SMX 80/400 mg tabs** N76.0 Acute vaginitis TMP/SMX DS 160/800 mg tabs** Labs ph (females only) Cervical Abnormalities Q0111 Wet mount (provider performed) N88.0 Leukoplakia, cervix Drugs Quantity/NDC: R ASC-US cervical smear R ASC-H cervical smear Vaginal candidiasis: R LGSIL cervical smear Clotrimazole 1%/2% cream** R HGSIL cervical smear Fluconazole 150 mg tab** R Cervical high risk HPV DNA Miconazole 2%/4% cream; positive 100/200mg vaginal suppository** Z Personal history of cervical Drugs Quantity/NDC: dysplasia Procedures Bacterial vaginosis: See Medi-Cal Part 2 for surgical and supplies Metronidazole 250/500 mg tabs; modifiers. 0.75% vaginal gel** Colposcopy Clindamycin 2% cream** Colpo with biopsy & ECC For alternative regimens, see PBI ben grid Colpo with biopsy Colpo with ECC PID (Females) Endometrial biopsy + Colpo N70.03 Acute salpingitis & oophoritis N70.93 Salpingitis & oophoritis, unspec N94.1 Dyspareunia R10.2 Pelvic & perineal pain Drugs Quantity/NDC: J0694 Cefoxitin 1 gm IM J0696 Ceftriaxone 250 mg IM Doxycycline 100 mg tabs** Probenecid 500 mg tabs** Metronidazole 250/500 mg tabs** Page 6 of 7
7 Cervical Abnormalities (con't) N87.0 Mild cervical dysplasia CIN 1 N87.1 Moderate cervical dysplasia CIN 2 D06.9 Carcinoma in situ of cervix CIN 3 Procedures See Medi-Cal Part 2 for surgical and supplies modifiers Colposcopy Colpo with biopsy & ECC Colpo with biopsy Colpo with ECC LEEP Cryocautery of cervix R Other abn findings of cervical smear Procedures See Medi-Cal Part 2 for surgical and supplies modifiers Endometrial biopsy (ages 40) ** Use S5000 for generic drugs. Use S5001 for brand name drugs. NDC required for physician administered drugs and onsite dispensing. Onsite dispensing of Miscellaneous Drugs (S5000/S5001) is restricted to hospital outpatient departments, emergency rooms, surgical clinics, and community clinics. Itemize dose, quantity, cost, and dispensing fee of Drugs/Supplies in ADDITIONAL CLAIM INFORMATION or REMARKS on claim. Page 7 of 7
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