Medical Termination with Mifeprostone and Cytotec. How to bill.
Medical Termination with Mifeprostone and Cytotec. How to bill.
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