TMPPM 2008 > Texas Medicaid Services > Family Planning Services > Procedure Codes and Reimbursement Amounts

   
 

20.7.7.4 Method-Specific Education/Counseling-Title V and XX Only

Procedure code 1-99401 with modifier FP provides information about the contraceptive method chosen for use by the client, including its proper use, the possible side effects and complications, its reliability, and its reversibility. The service is provided when initiating a contraceptive method, when changing contraceptive methods, or when having difficulty with a current method.

The educational counseling must include at least the following:

Verbal and written instructions for correct use of the method and self-monitoring.

Information regarding the method's mode of action, safety, benefits, and effectiveness.

Information regarding risks, potential side effects, and complications of the method and what to do if they occur.

Backup method: review when appropriate and instructions on the correct use.

When prescribing a diaphragm or cervical cap, include a demonstration of the correct insertion and removal procedures.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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