TMPPM 2009 > Texas Medicaid Services > Family Planning Services > Procedure Codes and Reimbursement Amounts

   
 

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.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2008 American Medical Association. All rights reserved.
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