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  • Posted by REHANA SAJJAD 3 months ago. There are 2 posts. The latest reply is from .
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  1. Medical Termination with Mifeprostone and Cytotec. How to bill.

  2. HCPCS codes covered if selection criteria are met:
    S0190 Mitepristone, oral, 200 mg
    S0199 Medically induce abortion by oral ingestion of medication including all associated services and supplies (e.g., patient counseling, office visits, confirmation of pregnancy by HCG, ultrasound to confirm duration of pregnancy, ultrasound to confirm completion of abortion) except drugs
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    Other HCPCS codes related:
    S0191 Misoprostol, oral, 200 mcg
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    ICD-9 codes covered if selection criteria are met:
    635.00 - 635.92 Legally induced abortion
    V25.03 Encounter for emergency contraceptive counseling and prescription
    V61.7 Other unwanted pregnancy
    ICD-9 codes not covered for indications listed in the CPB (not all inclusive):
    158.8 - 158.9 Malignant neoplasm of specified and unspecified parts of peritoneum
    182.0 Malignant neoplasm of corpus uteri, except isthmus
    183.0 Malignant neoplasm of ovary
    183.2 Malignant neoplasm of fallopian tube
    183.8 Malignant neoplasm of other specified sites of uterine adnexa
    194.0 Malignant neopasm of adrenal gland
    218.0 - 218.9 Uterine leiomyomas
    255.0 Cushing's syndrome
    295.00 - 295.95 Schizophrenic disorders
    331.0 Alzheimer's disease
    644.03 Threatened premature labor, antepartum condition or complication
    644.21 Early onset of delivery, delivered, with or without mention of antepartum condition
    658.13 Premature rupture of membranes, antepartum condition or complication
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    Other relevant ICD-9 codes:
    V22.0 - V22.2 Normal pregnancy
    V23.0 - V23.9 Supervision of high-risk pregnancy

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