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encomma-watson

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I did a claim review for CPT code 99214, FP modifier, (Family planning Medicaid)
CPT code 11983, FP (Removal w/reinsertion of implant)
and HCPCS J7307UD, FP modifiers (Etonogestrel Implant system including implant and supplies.

Am I billing correctly for a provider who is not a GYN Provider but has been trained to do this procedure. Can anyone help me on this?
 
Hi, my understanding with the FP modifiers is that you don't need them if you are using a contraceptive management dx code, eg, Z30.46. However, that could differ by state.
If this was a removal and reinsertion as you indicate, I question why a 99214 is being charged additionally.
The J code would also need the NDC information attached.
 
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