Family planning appendix regular.xlsx

Covered Family Planning (FP) Family Planning Related (FPR) ServicesThese services must be billed  with a family planning diagnosis code (V25.01‐V25.9)  Anesthesia for intraperitoneal procedures in lower abdomen including tubal ligation/transection Anesthesia for Vasectomy, Unilateral or Bilateral Anesthesia for vaginal procedures(including biopsy of labia, vagina, cervix, or endometrium); hysteroscopy and/or hysterosalpingography Destruction of Lesions, Penis, Simple; Chemical Destruction of Lesions, Penis, Simple; Cryosurgery APPENDIX p(99837) pa(175581) d(401349) ra(331184) AppendixCovered Family Planning (FP) Family Planning Related (FPR) ServicesThese services must be billed  with a family planning diagnosis code (V25.01‐V25.9)  Exam/Biopsy of Vag w/ScopeColposcopy of the cervix including upper/adjacent vaginaVagina Examination & Biopsy (Colposcopy, with Biopsy Endocervical CurettageCauterization of Cervix (Cautery of Cervix; Electro or Ultrasound bone density measurement (TC/26) AppendixCovered Family Planning (FP) Family Planning Related (FPR) ServicesThese services must be billed  with a family planning diagnosis code (V25.01‐V25.9)  Urinalysis Routine Wo.Microscopy, Nonauto Urinalysis Routine Wo Microscopy, Automat Immunoassay, For Analyte Not Ab, Qual/Semi Transaminase (SGOT); Aspartateamino (AST) Ab; Herpes Simplex, Non-Specific Type Test AppendixCovered Family Planning (FP) Family Planning Related (FPR) ServicesThese services must be billed  with a family planning diagnosis code (V25.01‐V25.9)  Culture, Bac, An; Id, Ea Anaerobic Organism Chlamydia Trachomatis Antigen Detection by DFA Chlamydia Trachomatis Antigen Detection by EIA Hepatitis B Surface Antigen Detection by EIA Hepatitis Be Antigen Detection by EIA Code AppendixCovered Family Planning (FP) Family Planning Related (FPR) ServicesThese services must be billed  with a family planning diagnosis code (V25.01‐V25.9)  Candida Detection by DNA, Amplified Probe Chlamydia Pneumoniae Detection by DNA, Dir. Prob Chlamydia Pneumoniae Detection by DNA, Amp. Pro Chlamydia Pneumoniae Detection by DNA, Quantif.
Chlamydia Trachomatis Detection by DNA, Dir. Probe Chlamydia Trachomatis Detection by DNA, Amp. Probe Chlamydia Trachomatis Detection by DNA, Quantif.
Gardnerella Vaginalis Detection by DNA, Direct Prob Gardnerella Vaginalis Detection by DNA, Amp. Probe Gardnerella Vaginalis Detection by DNA, Quantif.
Herpes Simplex Detection by DNA, Direct Probe Herpes Simplex Detection by DNA, Amplified Probe Herpes Virus-6 Detection by DNA, Quantification Neisseria Gonorrhoeae, DNA Direct Probe Technique Infect Agent Detect by Nucleic Acid, NOS, Dir. Probe AppendixCovered Family Planning (FP) Family Planning Related (FPR) ServicesThese services must be billed  with a family planning diagnosis code (V25.01‐V25.9)  Infect Agent Detect by Nucleic Acid, NOS, Amp. Probe Infect Agent Detect by Nucleic Acid, NOS, Quantif.
Chlamydia Trachomatis Detection by Immunoassay Cytopath, Cerv/Vag Thin Layer Preparation Cytopathology Smears, Cervical or Vaginal; Screening by Automated System Under Physician Supervision Cytopathology Smears, Cervical or Vaginal; Screening by Automated System Under Physician Supervision Cytopathology Smears, Cervical or Vaginal; Screening by Automated System with manual Re-screening Under Physician Supervision Cytopath C/V Index Add-OnCytopathology, Slides, Cervical or Vaginal (the Bethesda System); Manual Screening Under Physician SupervisionCytopathology with Manual Screening and Re-screening Under Physician SupervisionCytopathology with Manual Screening and Computer Assisted Re-screening Under Physician SupervisionCytopathology with Manual Screening and Computer Assisted Re-screening Using Cell Selection and Review Under Physician SupervisionCytopathology, Cervical or Vagina (Any Reporting System), Collected in Preservative Fluid, Automated Thin Layer Preparation, Screening by Automated System Under Physician SupervisionCytopathology, Cervical or Vagina (Any Reporting System), Collected in Preservative Fluid, Automated Thin Layer Preparation, Screening by Automated System and Manual Rescreening or Review, Under Physician Supervision Level II Surg Path Gross & Micro Exam AppendixCovered Family Planning (FP) Family Planning Related (FPR) ServicesThese services must be billed  with a family planning diagnosis code (V25.01‐V25.9)  Tissue Exam by PathologistLevel IV - Surgical Pathology, Gross and Microscopic ExaminationLevel V - Surgical Pathology, Gross and Microscopic Hepatitis B Immune Globulin, Intramuscular, 1ml Hepatitis A and Hepatitis B vaccine, adultHuman papilloma virus (HPV), types 6, 11, 16, 18, 3 HPV; types 16, 18 bivalent, 3 Dose Schedule1 Hepatitis B vaccine, Dialysis/Imm, 40 mcg Therapeutic, Prophylactic or Diagnostic Injection (specify material injected) Subcutaneous or Intramuscular AppendixCovered Family Planning (FP) Family Planning Related (FPR) ServicesThese services must be billed  with a family planning diagnosis code (V25.01‐V25.9)  Preventive Counseling, Indiv., 30 Min.
Preventive Counseling, Indiv., 45 Min.
Preventive Counseling, Indiv., 60 Min.
Injection, medroxyprogesterone acetate, 1 mg Medroxyprogesterone Ace/Estradiol Cyp Inj,5mg/25mg Levonorgestrel-Releasing Intrauterine Contracep Sys Levonorgestrel Implant System (Including Supplies) Annual Gynecological Exam, Established Patient Contraceptive Intrauterine Device, e.g. Progestacer

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