Medicaid Family Planning Waiver Services CPT Codes and ICD-10 Diagnosis Codes
|
|
- Justina Barton
- 7 years ago
- Views:
Transcription
1 CPT Code Description of Covered Codes Evaluation and Management 99384FP 99385FP Family planning new visit 99386FP 99394FP 99395FP Family planning established visit 99396FP 99401FP HIV counseling (pre-test) 15 min 99402FP HIV counseling (post-test) 30 min 99403FP Family planning counseling visit 99211FP Family planning supply visit Extended family planning services-new patient (treatment of STI) Extended family planning services-established patient (treatment of STI) Medication/Device A4264 Essure device J1050 Injection medroxyprogesterone acetate (Depo-Provera) J7300 Intrauterine copper device (Paraguard) J7301 SKYLA 13.5MG J7302 Levonorgestrel-releasing intrauterine device (Mirena and Liletta) J7307 Etonogestrel implant system, including implant and supplies (Implanon) Anesthesia, Surgical and Radiology Anesthesia for Intraperitoneal procedures in lower abdomen including laparoscopy Anesthesia for tubal ligation/transection Removal of implantable contraceptive capsules Insertion, non-biodegradable drug delivery implant Removal, non-biodegradable drug delivery implant Removal with reinsertion, non-biodegradable drug delivery implant Diaphragm or cervical cap fitting with instructions Pelvic examination under anesthesia Colposcopy of the cervix Colposcopy with biopsy(s) of the cervix and endocervical curettage Colposcopy with loop electrode biopsy(s) Insertion of intrauterine device Removal of intrauterine device Catheterization and introduction of saline or contrast material for saline infusion for hysterosalpingography Bilateral fallopian tube occlusion by permanent implants Ligation or transection of fallopian tube(s) Occlusion of fallopian tube(s) by device (e.g. band, clip, Falope ring) Surgical laparoscopy, with fulguration of oviducts (with or without transection) Surgical laparoscopy, with occlusion of oviducts by device (e.g. band, clip, or Falope ring) Radiological supervision and interpretation x-ray of uterine tubes and ovaries Page 1 of 6
2 76856 Ultrasound of pelvis, non-obstetric (to check placement of intrauterine devices) Ultrasound of extremity, limited, anatomic specific (to check for implantable contraceptive device) Laboratory Automated, with microscopy Non-automated, without microscopy Automated, without microscopy Urinalysis; qualitative or semi-qualitative Urinalysis; bacteriuria screen, by kit Urinalysis; bacteriuria screen, microscopic only Urine pregnancy test, by visual color comparison Glucose; quantitative, blood Gonadotropin, chorionic (hcg); quantitative Gonadotropin, chorionic (hcg); qualitative Blood count; manual differential WBC count Hematocrit Hemoglobin Fluorescent antibody; screen, each antibody (HIV & herpes) Neutralization test, viral Rubella screen (IgG) Tuberculosis, intradermal Syphilis test; qualitative (e.g., VDRL, RPR, ART) Syphilis test; quantitative HTLV or HIV antibody, confirmatory test (western blot) Herpes simplex, non-specific type test Herpes simplex, type I Herpes simplex, type Antibody; HIV Antibody; HIV Antibody; HIV-1 and HIV-2, single assay Hepatitis B surface antibody (HBsAb) Hepatitis Be antibody (HBeAb) Rubella titer Hepatitis C antibody Culture, bacterial, definitive; any other source (GC) Culture, bacterial, any source; anaerobic (isolation) Culture, bacterial, screening only (GC) Culture, bacterial, urine; quantitative, colony count Culture, bacterial, urine; quantitative colony count, with isolation and presumptive identification of each isolate Culture, chlamydia Dark field examination, any source, includes specimen collection Smear, primary source, with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types; (gonorrhea) Smear, primary source, with interpretation; (chlamydia) Smear, primary source, wet mount isolation, with stain Page 2 of 6
3 87252 Virus identification; tissue culture inoculation & observation Infectious agent antigen detection by immunofluorescent technique, chlamydia trachomatis Infectious agent antigen detection by immunofluorescent technique, herpes simplex virus type Infectious agent antigen detection by immunofluorescent technique, herpes simplex virus type Hepatitis B surface antigen (HBsAg) Hepatitis B surface antigen (HBsAg) neutralization Hepatitis Be antigen (HBeAg) HIV Candida species, direct probe technique Candida species, amplified probe technique Chlamydia trachomatis, direct probe technique Chlamydia trachomatis, amplified probe technique Gardnerella vaginalis, direct probe technique Gardnerella vaginalis, amplified probe technique Hepatitis B virus, direct probe technique Hepatitis B virus, amplified probe technique Hepatitis C virus, direct probe technique Hepatitis C virus, amplified probe technique Hepatitis C virus, quantification Herpes simplex virus, direct probe technique Herpes simplex virus, amplified probe technique HIV-1, direct probe technique HIV-1, amplified probe technique Neisseria gonorrhoeae, direct probe technique Neisseria gonorrhoeae, amplified probe technique HPV low-risk type detection test HPV high-risk type detection test Trichomonas vaginitis, direct probe technique Trichomonas vaginitis, amplified probe technique Infectious agent antigen detection by immunoassay with direct optical observation; chlamydia trachomatis Infectious agent antigen detection by immunoassay with direct optical observation; Neisseria gonorrhoeae Cytopathology, cervical or vaginal (any system) requiring physician interpretation Cytopathology, cervical or vaginal (preservative fluid) under physician supervision Cytopathology, cervical or vaginal with manual screen & re-screen under physician supervision Cytopathology, slides, cervical or vaginal, manual screen under physician supervision Cytopathology, slides, cervical or vaginal with manual screening and computerassisted rescreen under physician supervision Cytopathology, slides, with manual screen & re-screen under physician supervision Cytopathology, slides with manual screen & computer-assisted re-screening using cell selection and review under physician supervision Page 3 of 6
4 88155 Cytopathology, slides, cervical or vaginal, with definitive hormonal evaluation Cytopathology, slides, cervical or vaginal, (Bethesda System); with manual screening under physician supervision Cytopathology. slides, cervical or vaginal (Bethesda System);with manual screen & rescreen under physician supervision Cytopathology, slides, cervical or vaginal (Bethesda System), manual screen & computer-assisted re-screen under physician supervision Cytopathology, slides, cervical or vaginal, (Bethesda System), using cell selection and review under physician supervision Cytopathology, cervical or vaginal, (any reporting system), collected in preservative fluid, automated thin layer preparation, screen by automated system, under physician supervision With screen by automated system and manual rescreening or review, under physician supervision Level II surgical pathology, gross and microscopic (sterilization) Level IV surgical pathology, gross and microscopic (colposcopy) ICD-10 Code Description of Covered Diagnosis Codes A51.0 Primary genital syphilis A51.1 Primary anal syphilis A51.2 Primary syphilis of other sites A51.5 Early syphilis, latent A51.9 Early syphilis, unspecified A53.9 Syphilis, unspecified A54.00 Gonococcal infection of lower genitourinary tract, unspecified A54.01 Gonococcal cystitis and urethritis, unspecified A54.02 Gonococcal vulvovaginitis, unspecified A54.03 Gonococcal cervicitis, unspecified A54.09 Other gonococcal infection of lower genitourinary tract, unspecified A54.24 Gonococcal female pelvic inflammatory disease A54.29 Other gonococcal genitourinary infections A54.5 Gonococcal pharyngitis A54.6 Gonococcal infection of anus and rectum A54.9 Gonococcal infection, unspecified A56.00 Chlamydial infection of lower genitourinary tract -unspecified A56.01 Chlamydial cystitis and urethritis A56.02 Chlamydial vulvovaginitis A56.09 Other chlamydial infection of lower genitourinary tract A56.11 Chlamydial female pelvic inflammatory disease A56.19 Other chlamydial genitourinary infection A56.2 Chlamydial infection of genitourinary tract, unspecified A56.3 Chlamydial infection of anus and rectum A56.4 Chlamydial infection of pharynx A56.8 Sexually transmitted chlamydial infection of other sites A59.00 Urogenital trichomoniasis, unspecified A59.01 Trichomonal vulvovaginitis Page 4 of 6
5 A59.03 Trichomonal cystitis and urethritis A59.09 Other urogenital trichomoniasis A60.00 Herpesviral infection of urogenital system, unspecified A60.03 Herpesviral cervicitis A60.04 Herpetic vulvovaginitis A60.1 Herpesviral infection of perianal skin and rectum A60.9 Anogenital herpesviral infection, unspecified A63.0 Anogenital (venereal) warts A63.8 Other specified predominantly sexually transmitted diseases A64 Unspecified sexually transmitted disease A74.89 Other chlamydial diseases A74.9 Chlamydial infection, unspecified B37.3 Candidiasis of vulva and vagina B37.4 Candidiasis of other urogenital sites B07.8 Other viral warts B07.9 Viral wart, unspecified N34.1 Nonspecific urethritis N86 Erosion and ectropion of cervix uteri N87.0 Mild cervical dysplasia N87.1 Moderate cervical dysplasia N87.9 Dysplasia of cervix uteri, unspecified N88.0 Leukoplakia of cervix uteri Atypical squamous cells of undetermined significance on cytologic smear of cervix R (ASC-US) Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of cervix (ASC-H) R R Low grade squamous intraepithelial lesion on cytologic smear of cervix (LGSIL) R High grade squamous intraepithelial lesion on cytologic smear of cervix (HGSIL) R Cytologic evidence of malignancy on smear of cervix R Unsatisfactory cytologic smear of cervix R Satisfactory cervical smear but lacking transformation zone R Other abnormal cytological findings on specimens from cervix uteri R Unspecified abnormal cytological findings in specimens from cervix uteri R Atypical squamous cells of undetermined significance on cytologic smear of vagina (ASC-US) Atypical squamous cells cannot exclude high grade squamous intraepithelial lesion on cytologic smear of vagina (ASC-H) R R Low grade squamous intraepithelial lesion on cytologic smear of vagina (LGSIL) R High grade squamous intraepithelial lesion on cytologic smear of vagina (HGSIL) R Cytologic evidence of malignancy on smear of vagina R Unsatisfactory cytologic smear of vagina R Other abnormal cytological findings on specimens from vagina R Unspecified abnormal cytological findings in specimens from vagina R87.7 Abnormal histological findings in specimens from female genital organs R Cervical high risk human papillomavirus (HPV) DNA test positive R Vaginal high risk human papillomavirus (HPV) DNA test positive R Cervical low risk human papillomavirus (HPV) DNA test positive Page 5 of 6
6 R Vaginal low risk human papillomavirus (HPV) DNA test positive R87.89 Other abnormal findings in specimens from female genital organs R87.9 Unspecified abnormal finding in specimens from female genital organs Z Encounter for gynecological examination (general) (routine) with abnormal findings Z Encounter for gynecological examination (general) (routine) without abnormal findings Encounter for cervical smear to confirm findings of recent normal smear following initial abnormal smear Z01.42 Z11.51 Encounter for screening for human papillomavirus (HPV) Z12.4 Encounter for screening for malignant neoplasm of cervix Z Encounter for initial prescription of contraceptive pills Z Encounter for prescription of emergency contraception Z Encounter for initial prescription of injectable contraceptive Z Encounter for initial prescription of intrauterine contraceptive device Z Encounter for initial prescription of other contraceptives Z30.02 Counseling and instruction in natural family planning to avoid pregnancy Z30.09 Encounter for other general counseling and advice on contraception Z30.2 Encounter for sterilization Z30.41 Encounter for surveillance of contraceptive pills Z30.42 Encounter for surveillance of injectable contraceptive Z Encounter for insertion of intrauterine contraceptive device Z Encounter for routine checking of intrauterine contraceptive device Z Encounter for removal of intrauterine contraceptive device Z for removal and reinsertion of intrauterine contraceptive device Z30.9 Encounter for contraceptive management, unspecified Z32.00 Encounter for pregnancy test, result unknown Z32.01 Encounter for pregnancy test, result positive Z32.02 Encounter for pregnancy test, result negative Page 6 of 6
Medicaid Family Planning Waiver Services CPT Codes and ICD-9 Diagnosis Codes
Family Planning Waiver Services CPT Codes and ICD-9 Diagnosis Codes CPT Code Description of Covered Codes Evaluation and Management 99384FP 99385FP 99386FP 99394FP 99395FP 99396FP 99401FP 99402FP 99403FP
More informationClinical Scenarios CODING AND BILLING 101. Daryn Eikner, Family Planning Council Ann Finn, Ann Finn Consulting
Clinical Scenarios CODING AND BILLING 101 Daryn Eikner, Family Planning Council Ann Finn, Ann Finn Consulting 1 Always remember Follow coding guidelines If you didn t write it down, it didn t happen The
More information10-144 Chapter 101 MAINECARE BENEFITS MANUAL CHAPTER III
Last updated:. *Please note: As of the effective date of this rule, Family Planning agencies will be reimbursed at the same fee for service rates as other providers of these services, including Section
More informationPlan First! Rev: 06/25/2015 Family Planning Waiver Program Covered Services January 2015
The Plan First! () is a limited services benefit plan which covers office visits, routine laboratory, diagnostic tests and surgical procedures associated with family planning. Initial treatment for Sexually
More informationPreventive Service HCPCS. Procedure Description ICD-9 Codes Modifier 33 Required? Page 1 of 6
Well-Woman Exam G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination Breast Cancer V72.31 77057 Screening mammography, bilateral (2-view film study of each breast) V10.3 77052
More informationWHEN CUSTOMIZING, INCLUDE ONLY LABS, DRUGS, & PROCEDURES PROVIDED ONSITE FAMILY PLANNING SERVICES
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
More informationBe Healthy. Be Healthy. Using Your Wellness Benefits. Helping You Stay Healthy. Wellness Benefits
Be Healthy Wellness Benefits Be Healthy Using Your Wellness Benefits Helping You Stay Healthy Health Alliance emphasizes prevention through comprehensive wellness coverage. We support members throughout
More informationFRIEND TO FRIEND CPT CODES 2015 2016. Diagnostic digital breast tomosynthesis, unilateral (list separately in addition to code for primary procedure)
FRIEND TO FRIEND CPT CODES 2015 2016 CPT CODE SERVICE DESCRIPTION FEE EFFECTIVE G0101 Screening pelvic examination $36.69 01 Jan 16 G0202 Mammography, screening, digital, bilateral (2 view film study of
More informationSCREENING FOR SEXUALLY TRANSMITTED INFECTIONS
SCREENING FOR SEXUALLY TRANSMITTED INFECTIONS Take history:- History of presenting problem Full sexual history (refer to guideline on sexual history taking) Relevant past medical history, including previous
More informationGlossary. amenorrhea, primary - from the beginning and lifelong; menstruation never begins at puberty.
Glossary amenorrhea - absence or cessation of menstrual periods. amenorrhea, primary - from the beginning and lifelong; menstruation never begins at puberty. A amenorrhea, secondary - due to some physical
More informationThe percentage of women 21-64 years of age who received one or more Pap tests to screen for cervical cancer.
Measure Name: Cervical Cancer Screen Owner: NCQA (CCS) Measure Code: CER Lab Data: Y Rule Description: General Criteria Summary The percentage of women 21-64 years of age who received one or more Pap tests
More informationPROPERTY OF ELSEVIER SAMPLE CONTENT - NOT FINAL ABNORMAL PAP SMEAR (ABNORMAL CERVICAL CYTOLOGIC FINDINGS) Kathleen Dor
1 ABNORMAL PAP SMEAR (ABNORMAL CERVICAL CYTOLOGIC FINDINGS) Kathleen Dor Cervical cytology screening has significantly decreased rates of mortality from cervical cancer; however, 400 women die each year
More informationBirth Control Options
1 of 5 6/2/2014 9:46 AM Return to Web version Birth Control Options What is contraception? Contraception means preventing pregnancy, also called birth control. Most people know about options such as birth
More informationFAMILY PLANNING MEDICAL ASSISTANCE
FAMILY PLANNING MEDICAL ASSISTANCE MEDICAID S EPANDED FAMILY PLANNING BENEFIT PROVIDER BILLING MANUAL JUNE 24, 2013 NEW HAMPSHIRE MEDICAID Medical Assistance Table of Contents 1. NH FAMILY PLANNING MEDICAL
More informationCancer of the Cervix
Cancer of the Cervix WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 A woman's cervix (the opening of the uterus) is lined with cells. Cancer of the cervix occurs when those cells change,
More informationLeader's Resource. Note: Both men and women can have an STD without physical symptoms.
Leader's Resource Information on Sexually Transmitted Diseases (STDs) Signs and Symptoms of STDs Note: Both men and women can have an STD without physical symptoms. Any of the following can indicate to
More informationTexas Billing and Coding Guide. A Resource for Providers of HIV, STD and Related Services
Texas Billing and Coding Guide A Resource for Providers of HIV, STD and Related Services 2014 Texas Billing and Coding Guide A Resource for Providers of HIV, STD and Related Services ACKNOWLEDGEMENTS Cardea
More informationProvider Reimbursement for Women's Cancer Screening Program
Reimbursement Schedule July 1, 2015 June 30, 2016 Office Visits - Established Patients Office Visit / Minimal / no physician 99211 $ 16.70 Office Visit / Problem focused History / exam 99212 $ 36.46 Preventive
More informationCODING GUIDELINES FOR CONTRACEPTIVES. Updated for ICD-10 CM (post October 1, 2015)
CODING GUIDELINES FOR CONTRACEPTIVES Updated for ICD-10 CM (post October 1, 2015) TABLE OF CONTENTS ICD-10 CM Diagnosis Codes: Encounter for contraception page 2 LARC: Coding for IUD Insertion and Removal
More informationOffice Visits. Breast
Early Detection Works Reimbursement Fee Schedule Effective for services on or after July 1, 2015 Program guidelines require that be the payor of last resort. Program funds cannot be used to supplement
More informationFee Schedule Instructions
Last Updated on: 05-19-2016 Fee Schedule Instructions Historical Fee Schedules Historical Behavioral Health Fee Schedules Fee Schedule Formats Format of CSV Fee Schedules Special Indicators on Fee Schedules
More informationAIR FORCE REPORTABLE EVENTS GUIDELINES & CASE DEFINITIONS
AIR FORCE REPORTABLE EVENTS GUIDELINES & CASE DEFINITIONS An Air Force addendum to the TRI-SERVICE REPORTABLE EVENTS GUIDELINES & CASE DEFINITIONS Prepared by: Air Force Institute for Operational Health
More informationExplanation of your PAP smear
Explanation of your PAP smear Approximately 5-10% of PAP smears in the United States are judged to be abnormal. Too often, the woman who receives this news worries that she already has, or will develop,
More informationCalifornia Guidelines for STD Screening and Treatment in Pregnancy
California Guidelines for STD Screening and Treatment in Pregnancy These guidelines were developed by the California Department of Public Health (CDPH) Sexually Transmitted Diseases (STD) Control Branch
More informationSpecimen collection and transport for Chlamydia trachomatis and Neisseria gonorrhoeae testing
Specimen collection and transport for Chlamydia trachomatis and Neisseria gonorrhoeae testing Overview Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) infections are two of the most common sexually
More informationChanges in the 2010 STD Treatment Guidelines: What Adolescent Health Care Providers Should Know February 2011
Changes in the 2010 STD Treatment Guidelines: What Adolescent Health Care Providers Should Know February 2011 Gale Burstein, MD, MPH, FAAP, FSAHM 1 Amanda Jacobs, MD, FAAP, 2 Dmitry Kissin, MD, MPH, 3
More informationPap smears, cytology and CCHC lab work and follow up
Pap smears, cytology and CCHC lab work and follow up What is a Pap Smear? A Pap smear (also known as the Pap test) is a medical procedure in which a sample of cells from a woman's cervix (the end of the
More informationHealth First Billing Guideline
Subject: Preventive Services Health First Billing Guideline Effective: January 1, 2013 Last Updated: December 2013 Background: Health First is committed to the wellness of its members and encourages preventive
More informationCervical Cancer Screening and Management Guidelines: Changing Again, Huh?
Cervical Cancer Screening and Management Guidelines: Changing Again, Huh? Summary of 2013 recommendations from ASC (American Cancer Society), ASCCP (American Society for Colposcopy and Cervical Pathology),
More informationDiseases that can be spread during sex
Diseases that can be spread during sex Did you know... over 65 million people in the United States have a chronic, incurable sexually transmitted disease (STD)? and that every year another 19 million persons
More informationCervical Cancer The Importance of Cervical Screening and Vaccination
Cervical Cancer The Importance of Cervical Screening and Vaccination Cancer Cells Cancer begins in cells, the building blocks that make up tissues. Tissues make up the organs of the body. Sometimes, this
More informationAbbreviation Term Definition
STD 101 In A Box- Abbreviations Abbreviation Term Definition AIDS Acquired Immunodeficiency Syndrome A disease in which there is a severe loss of the body's cellular immunity, greatly lowering the resistance
More informationManagement of Abnormal Pap Smear Clinical Practice Guideline
Management of Abnormal Pap Smear Clinical Guideline General Principles: The Papanicolaou (Pap) smear is widely credited with reducing mortality from cervical cancer, and remains the single best method
More informationBest Practices in Reproductive Health: CPT and ICD-9 Coding
Oregon Reproductive Health Coordinators' Meeting Best Practices in Reproductive Health: CPT and ICD-9 Coding Michael S. Policar, MD, MPH Clinical Professor of Ob,Gyn, & RS UCSF School of Medicine policarm@obgyn.ucsf.edu
More informationCervical Cancer Prevention and Early Detection What is cervical cancer?
Cervical Cancer Prevention and Early Detection What is cervical cancer? Cervical cancer starts in cells lining the cervix. The cervix is the lower part of the uterus (womb). It is sometimes called the
More informationSTI case management. Francis Ndowa - GFMER Theodora Wi - WHO
Training Course in Sexual and Reproductive Health Research 2014 Module: Principles and Practice of Sexually Transmitted Infections Prevention and Care STI case management Francis Ndowa - GFMER Theodora
More informationICD-10 Are You Ready?
Leading the Way: Increasing Access to Sexual and Reproductive Health Conference Philadelphia, PA June 18, 2015 presenter DENISE WALSH, CPC Senior Consultant SHR ASSOCIATES, INC. Since 1981, SHR Associates,
More informationCervical Screening and HPV Vaccine Guidelines In Saudi Arabia. Prof. Mohammed Addar Chairmen Gyneoncology section KKUH, King Saud University
Cervical Screening and HPV Vaccine Guidelines In Saudi Arabia Prof. Mohammed Addar Chairmen Gyneoncology section KKUH, King Saud University Burden of HPV related cancers l l Cervical Cancer of the cervix
More informationTHIS IS AN OFFICIAL NH DHHS HEALTH ALERT
THIS IS AN OFFICIAL NH DHHS HEALTH ALERT Distributed by the NH Health Alert Network Health.Alert@nh.gov August 13, 2015 1400 EDT (2:00 PM EDT) NH-HAN 20150813 Updated Centers for Disease Control (CDC)
More informationAcute pelvic inflammatory disease: tests and treatment
Acute pelvic inflammatory disease: tests and treatment Information for you Information for you Published August 2010 Published in August 2010 (next review date: 2014) Acute What is pelvic inflammatory
More informationHPV, Cervical Dysplasia and Cancer
FACTSHEET HPV, Cervical Dysplasia and Cancer Summary Cervical dysplasia is an abnormal change in the cells of the cervix in the uterus. Early changes, called low-grade lesions by doctors, may persist and
More informationbeing tested a guide Screening HIV Gonorrhoea Chlamydia Syphilis HPV - Warts Genital Herpes Hepatitis B Check Up
being tested a guide Screening HIV Gonorrhoea Chlamydia Syphilis HPV - Warts Genital Herpes Hepatitis B Check Up This booklet is intended to give you an idea of what to expect when you attend for a screening
More informationAbnormal Uterine Bleeding
Abnormal Uterine Bleeding WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Abnormal uterine bleeding is one of the most common reasons women see their doctors. It can occur at any age and has
More informationMaking Sense of Your Pap and HPV Test Results
Making Sense of Your Pap and HPV Test Results Keep this booklet until you get your test results back from your doctor. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention
More informationAccent on Health Obgyn, PC HPV Frequently Asked Questions
1. What is HPV? 2. How do you get HPV? 3. How common is HPV? 4. What are the symptoms of HPV? 5. Can HPV be treated? 6. What is the HPV test and how is it different from a PAP test? 7. Can the HPV test
More information101 CMR: EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES 101 CMR 312.00: FAMILY PLANNING SERVICES
101 CMR 312.00: FAMILY PLANNING SERVICES Section 312.01: General Provisions 312.02: General Definitions 312.03: General Rate Provisions 312.04: Reporting Requirements 312.05: Severability 312.01: General
More informationHuman Papilloma Virus (HPV)
Human Papilloma Virus (HPV) A Sexually Transmitted Disease (STD) which can lead to Cervical, Penile and Anal Cancer What Adolescents Need to Know! Most people have heard of HIV/AIDS; however, most people
More informationSTANDARD PROTOCOL STD AND HIV SCREENING AND EPIDEMIOLOGIC STD TREATMENT
STANDARD PROTOCOL STD AND HIV SCREENING AND EPIDEMIOLOGIC STD TREATMENT RELEASE DATE: REVIEW INTERVAL: YEARLY REVIEW DATE: SITE/SERVICE UNIT: IMPLEMENTATION DATE: REVIEWED BY: CONTACT: APPROVED BY: CONTENTS
More information2014 CDC Treatment Guidelines for STDs What s New, What s Important, What s Essential. STD Treatment Guidelines. How are the guidelines prepared?
2014 CDC Treatment Guidelines for STDs What s New, What s Important, What s Essential Bradley Stoner, MD, PhD Associate Professor, Washington University School of Medicine Medical Director, St. Louis STD/HIV
More informationCoding and Billing for HIV Services in Healthcare Facilities
P a g e 1 Coding and Billing for HIV Services in Healthcare Facilities The Hawai i State Department of Health STD/AIDS Prevention Branch is pleased to provide you information on billing and reimbursement
More informationGonorrhoea. Looking after your sexual health
Gonorrhoea Looking after your sexual health 2 Gonorrhoea Gonorrhoea is a bacterial sexually transmitted infection (STI). It can be painful and can cause serious health problems such as infertility in both
More informationLaboratory Services. Laboratory Procedures
Laboratory Services Laboratory Procedures Anthem is contracted with Laboratory Corporation of America (LabCorp ). All lab work, including Pap tests and routine outpatient pathology, must be sent to LabCorp,
More informationSpecimen Collection Guide
Specimen Collection Guide pathology.mater.org.au Specimen Collection Guide This chart indicates the specimen required for most frequently requested tests. If the desired test is not listed here please
More informationMEDICAID CODING GUIDELINE Effective:
URINALAYSIS MEDICAID CODING GUIDELINE Effective: CPT CODES: 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, ph, protein, specific gravity,
More informationNATIONAL GUIDELINE FOR CERVICAL CANCER SCREENING PROGRAMME
NATIONAL GUIDELINE FOR CERVICAL CANCER SCREENING PROGRAMME CERVICAL CANCER Introduction Cancer of the cervix is the second most common form of cancer amongst South African women. Approximately one in every
More informationCoding for the Contraceptive Implant and IUDs
LARC Quick Coding Guide 2012 UPDATE Coding for the Contraceptive Implant and IUDs CRECT CODING can result in more appropriate compensation for services. To help practices receive appropriate payment for
More informationMichael Policar, MD, MPH, Presenter. Fundamentals of Family Planning Coding: Family Planning, Access, Care, and Treatment (Family PACT) and Medi Cal
Michael Policar, MD, MPH, Presenter Fundamentals of Family Planning Coding: Family Planning, Access, Care, and Treatment (Family PACT) and Medi Cal January 15, 2014 What Is the Fundamental Objective of
More informationBD Affirm VPIII. Microbial Identification System
BD Affirm VPIII Microbial Identification System The Only Diagnostic Test that Differentiates and Identifies 3 Vaginitis Pathogens from a Single Sample, with DNA Certainty. Translating the power and the
More informationINTRODUCTION: CPT CODES & ICD-9 CODES
INTRODUCTION: CPT CODES & ICD-9 CODES Current Procedural Terminology (CPT) is a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians.
More informationFrequently Asked Questions
Frequently Asked Questions Testing for Gonorrhea Q1: What test should be completed for accurately diagnosing gonorrhea? A1: Testing is done with either a culture or a NAAT (nucleic acid amplification test).
More informationManagement of Abnormal PAP Smears. K Chacko, MD, FACP 2010 GIM Conference
Management of Abnormal PAP Smears K Chacko, MD, FACP 2010 GIM Conference Scope of the Problem About 7-10% 7 of PAPs will come back abnormal 3.5 to 4 million in the US each year Approximate 4000 deaths
More informationMeasure Name: URI Treatment without Antibiotics for Children Measure Code: URI Lab Data: N
Measure Name: URI Treatment without Antibiotics for Children Owner: NCQA (URI) Measure Code: URI Lab Data: N Rule Description: General Criteria Summary The percentage of children 3 months -18 years of
More informationCERVICAL CANCER SCREENING
CERVICAL CANCER SCREENING APPLICATIONS OBJECTIVE Purpose of Measure: ELIGIBLE POPULATION Which members are included? STANDARD OF CARE What screening should be done? NCQA ACCEPTED CODES DOCUMENTATION REQUIREMENTS
More informationAssisted Reproductive Technologies at IGO
9339 Genesee Avenue, Suite 220 San Diego, CA 92121 858 455 7520 Assisted Reproductive Technologies at IGO Although IGO no longer operates an IVF laboratory or program as such, we work closely with area
More informationStanding Authorizations Section
Standing Authorizations Section STANDING AUTHORIZATION... 3 DIAGNOSTIC TESTS... 3 Diagnostic Tests... 4 Diagnostic Tests... 5 Diagnostic Tests... 7 DME AND ORTHOTIC/PROSTHETIC DETAILS FOR NETWORK BLUE.
More informationWOOD COUNTY SCHOOL OF PRACTICAL NURSING. Medical/Surgical Nursing: Reproductive
WOOD COUNTY SCHOOL OF PRACTICAL NURSING Medical/Surgical Nursing: Reproductive Time: 19 Hours Theory; 1 Hour Pharmacology IV, (1 Diet Therapy - Integrated.) Placement: Nursing IV. Instructor: Toni Tennant,
More informationThe society for lower genital tract disorders since 1964.
The society for lower genital tract disorders since 1964. Updated Consensus Guidelines for Managing Abnormal Cervical Cancer Screening Tests and Cancer Precursors American Society for and Cervical Pathology
More informationDiagnosis Codes for Pregnancy and Complications of Pregnancy
This list is for informational purposes only and is not a binding or definitive list of covered conditions. It is not a guarantee of coverage; coverage depends on the available benefits and eligibility
More informationHUMAN PAPILLOMAVIRUS (HPV) FACT SHEET
HUMAN PAPILLOMAVIRUS (HPV) FACT SHEET Background Information - Human Papillomavirus HPV is the name of a group of viruses that include more than 80 different types associated with a variety of epidermal
More informationCONTRACEPTION TYPES CONTRACEPTION LARA SANDERS, RN CHAPTER 7 PAGES 159-174
CONTRACEPTION LARA SANDERS, RN CHAPTER 7 PAGES 159-174 CONTRACEPTION Voluntary prevention of pregnancy More than half of pregnancies every year are unintended in women younger than 20 years of age May
More informationIntrauterine Device (IUD) THE FACTS
Intrauterine Device (IUD) Quick Facts Effectiveness in Preventing Pregnancy: Use: Of 100 women using IUDs for a year, about one may become pregnant. IUDs are better at preventing pregnancy than condoms,
More informationFundamentals of Coding and Billing for STI Clinical Services in Local Health Departments
Fundamentals of Coding and Billing for STI Clinical Services in Local Health Departments March 11, 2014 PRESENTED BY Ann Finn Consulting, LLC IN ASSOCIATION WITH Region III STD-Related Reproductive Health
More informationFamily Planning Services Clinical Coverage Policy No: 1E-7 Amended Date: October 1, 2015. Table of Contents
Table of Contents 1.0 Description of the Procedure, Product, or Service... 1 1.1 Definitions... 1 1.1.1 Regular Medicaid Family Planning (Medicaid FP) and NCHC... 1 1.1.2 Be Smart Family Planning Medicaid
More informationSexually Transmitted Infections (STIs) and the STI Clinic
Patient & Family Guide 2016 Sexually Transmitted Infections (STIs) and the STI Clinic Where to go. What to know. STIs are more common than you might think! www.nshealth.ca Sexually Transmitted Infections
More informationAbnormal Uterine Bleeding FAQ Sheet
Abnormal Uterine Bleeding FAQ Sheet What is abnormal uterine bleeding? Under normal circumstances, a woman's uterus sheds a limited amount of blood during each menstrual period. Bleeding that occurs between
More informationNEW YORK STATE Department of Health
1 NEW YORK STATE Department of Health MEDICAID FEE-FOR-SERVICE BILLING FOR FAMILY PLANNING WEBINAR JUNE 20, 2014 To view recorded webinar, go to: https://www3.gotomeeting.com/register/241775910 2 Welcome
More informationNational Women s Health Resource Center YOUR GUIDE TO. Cervical. Health
National Women s Health Resource Center Cervical YOUR GUIDE TO Health CONTENTS Introduction: The Cervix...................... 1 Your Cervix: Gateway to the Uterus............. 2 A Reproductive Doorway......................
More informationUnderstanding. Cervical Changes A Health Guide for Women. National Cancer Institute U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
National Cancer Institute Understanding Cervical Changes A Health Guide for Women U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health This guide helped me talk with my doctor after
More informationPRENATAL/WOMEN S HEALTH ROTATION
PRENATAL/WOMEN S HEALTH ROTATION Course Title: Women s Health Rotation Course Description and goals: This is a 4- week rotation designed to educate the student about the diagnosis, management and treatment
More informationGuidelines for Preventative Health Care in LGBT Populations
+ Guidelines for Preventative Health Care in LGBT Populations Katie Imborek, MD Department of Family Medicine Co-Director UI LGBTQ Clinic April 2 nd, 2014 + Objectives n Understand CDC screening guidelines
More informationThe link between cervical cancer and HPV (human papillomavirus)
The link between cervical cancer and HPV (human papillomavirus) The link between cervical cancer and HPV Key facts: HPV is a virus (the human papillomavirus). Almost all abnormal Pap smear results are
More informationTreatment of sexually transmitted and other genital infections
www.bpac.org.nz keyword: sti Treatment of sexually transmitted and other genital infections Key reviewer: Dr Murray Reid, Sexual Health Physician, Auckland Sexual Health Service General points: If one
More informationSterilisation for women and men: what you need to know
Sterilisation for women and men: what you need to know Published January 2004 by the RCOG Contents Page number Key points 1 About this information 2 What are tubal occlusion and vasectomy? 2 What do I
More informationCervical Cancer Screening Guideline
Cervical Cancer Screening Guideline Prevention 2 Abbreviations Used 2 Specimen Collection Techniques 3 Screening 4 Management Women 21 Years and Older Pap results 5 findings: ASC-US and LSIL 6 findings:
More informationPreventing Cervical Cancer with Gardasil Jana Ogden RN, MSN, MBA-HCA, IHCC Nursing Faculty. Upon Completion of the Lesson the student will be able to:
Preventing Cervical Cancer with Gardasil Jana Ogden RN, MSN, MBA-HCA, IHCC Nursing Faculty Upon Completion of the Lesson the student will be able to: Review statistics related to cervical cancer and HPV
More informationCervical Cancer Screening. Clinical Practice Guidelines for Average Risk Women
QEYGYN051 Cervical Cancer Screening Clinical Practice Guidelines for Average Risk Women For Approval of the Provincial Medical Affairs Committee October 2013 Table of Contents Page Background Information
More informationUnderstanding Your Diagnosis of Endometrial Cancer A STEP-BY-STEP GUIDE
Understanding Your Diagnosis of Endometrial Cancer A STEP-BY-STEP GUIDE Introduction This guide is designed to help you clarify and understand the decisions that need to be made about your care for the
More informationPreventive Care Coverage Wondering what preventive care your plan covers?
STAYING WELL Regence BlueCross BlueShield of Oregon is an Independent Licensee of the Blue Cross and Blue Shield Association Preventive Care Coverage Wondering what preventive care your plan covers? Our
More informationMicrobiology Specimen Collection Instructions. Alphabetical List of Microbiology Tests
Page 1 of 8 Alphabetical List of Tests Test/Specimen Type Collection Table Referred out Abscess aspirate, wound Acanthamoebae Parasitology Acinetobactor screening Adenovirus Serology AFB Stain only Amoebiasis
More informationCDC 2015 STD Treatment Guidelines: Update for IHS Providers Sharon Adler M.D., M.P.H.
CDC 2015 STD Treatment Guidelines: Update for IHS Providers Sharon Adler M.D., M.P.H. Clinical Faculty, CA Prevention Training Center Disclosure Information Sharon Adler MD, MPH I have no financial relationships
More informationPreventive Services at 100%
September 1, 2014 Update Preventive Care Services Covered Without Cost-sharing Without Copay, Coinsurance or Deductible The Affordable Care Act (ACA) requires non-grandfathered health plans and policies
More informationIMMEDIATE HOT LINE: Effective March 2, 2015
MEDICARE COVERAGE OF LABORATORY TESTING Please remember when ordering laboratory tests that are billed to Medicare/Medicaid or other federally funded programs, the following requirements apply: 1. Only
More informationFrozen Donor Embryo Transfer Price List, EDI 2016
Frozen Donor Embryo Transfer Price List, EDI 2016 Introduction: We have done our best to be accurate in estimating your fees. If you have had some of these tests completed relatively recently, they will
More informationProcedure Code(s): n/a This counseling service is included in a preventive care wellness examination or focused E&M visit.
Coding Summary for Providers NOTE THE FOLLOWING: The purpose of this document is to provide a quick reference of the applicable codes for UnitedHealthcare plans that cover preventive care services in accordance
More informationSage Screening Program. Provider Manual
Sage Screening Program Provider Manual Sage Screening Program Minnesota Department of Health 85 E. 7th Place, Suite 400 P.O. Box 64882 St. Paul, Minnesota 55164-0882 (651) 201-5600 (phone) (651) 201-5601-
More informationThe Cervical Screening Manual
The Cervical Screening Manual A Guide for Health Departments and Providers Collaboration Partners: Chronic Disease and Injury Section Breast and Cervical Cancer Control Program Women s and Children s Health
More informationIN-NETWORK MEMBER PAYS. Out-of-Pocket Maximum (Includes a combination of deductible, copayments and coinsurance for health and pharmacy services)
HMO-OA-CNT-30-45-500-500D-13 HMO Open Access Contract Year Plan Benefit Summary This is a brief summary of benefits. Refer to your Membership Agreement for complete details on benefits, conditions, limitations
More informationPosition Classification Standard for Medical Technician Series, GS-0645
Position Classification Standard for Medical Technician Series, GS-0645 Table of Contents SERIES DEFINITION... 2 EXCLUSIONS... 2 SPECIALIZATIONS AND TITLES... 3 OCCUPATIONAL INFORMATION... 4 CLASSIFICATION
More informationNATIONAL HEALTHCARE REFORM (NHR) RECOMMENDATIONS
USPSTF RECOMMENDATIONS - The below services are specifically identified by the USPSTF as A or B recommendations Adult Aortic Aneurysm Screening (one time age 65-75 if ever smoked) The U.S. Preventive Services
More information