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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 1-99201, 1-99202, 1-99203, 1-99205, 1-99211, 1-99212, 1-99213, and 1-99215 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 1-99213 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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