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20.7.2 Other Family Planning Office or Outpatient Visits
During any visit for a medical problem or follow-up visit, the following must occur:
• An update of the client's relevant history
• Physical exam, if indicated
• Laboratory tests, if indicated
• Treatment and/or referral, if indicated
• Education/counseling or referral, if indicated
• Scheduling of office or clinic visit, if indicated
Title XIX Only
Title XIX providers may use procedure codes 99201, 99202, 99203, 99205, 99211, 99212, 99213, and 99215 with modifier FP and a family planning diagnosis for other family planning office or outpatient visits. These procedure codes are allowed for routine contraceptive surveillance, family planning counseling/education, contraceptive problems, suspicion of pregnancy, genitourinary infections, and evaluation of other reproductive system symptoms.
Title V and XX Only
For Title V and XX providers, procedure code 99203 with modifier FP and 99213 with FP modifier is allowed for routine contraceptive surveillance, family planning counseling and education, contraceptive problems, suspicion of pregnancy, genitourinary infections, and evaluation of other reproductive system symptoms.
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