• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

emergency Contraception Pill CPT Code

J

jbhuju

Guru
Messages
168
Location
Prosper, TX
hello,
just wondering which CPt code to use for emergency contraception pills . Do we use S4993? and what would we charge? please help.
 
Typically, health insurance plans are not going to cover emergency contraceptive pills under the major medical benefits because it is an over-the-counter medication. If it is covered by a patient's health insurance plan, it will likely be covered under their pharmacy benefit plan. The insurance company I work for would deny S4993 indicating that the claim needs to be submitted to the patient's pharmacy benefits manager (PBM).
 
You must log in or register to reply here.
Top