O.4.2.4 Contraceptive Devices and Related Procedures
Procedure Code
Fee for Physicians
2-57170
Clients 20 years of age and younger:$38.00 Clients 21 years of age and older: $45.25
2-58300
Clients 20 years of age and younger: $72.45 Clients 21 years of age and older: $69.00
2-58301
$70.45
9-A4261
$24.22
9-A4266
$10.01
1-J7300
$403.75
1-J7302
$420.48
1-J7303
$40.65
1-J7304
$15.36
Procedure codes 1-J7300 or 1-J7302 must be billed with 2-58300 on the same date of service for both the insertion and the device to be reimbursed.
Procedure code 2-58300 may be considered for reimbursement when submitted with the same date of service as an office visit. Procedure code 2-58301 will not be considered for reimbursement if it is submitted with the same date of service as an office visit.
Texas Medicaid & Healthcare Partnership CPT only copyright 2007 American Medical Association. All rights reserved.
