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Modifier FP???

  1. #1
    Default Modifier FP???
    Medical Coding Books
    Does anyone know about the FP modifier? I was just challenged on this regarding the insertion of an IUD however I am not sure I have even heard of this modifier!


  2. #2
    Sioux Falls South Dakota
    It is a HCPCS modifier for "Service provided as part of family planning program". The codes it is valid for are:Modifier Codes - Modifier: FP

    Code Description
    A4261 Cervical cap for contraceptive use
    A4266 Diaphragm for contraceptive use
    A4267 Contraceptive supply, condom, male, each
    A4268 Contraceptive supply, condom, female, each
    A4269 Contraceptive supply, spermicide (e.g., foam, gel), each
    J7300 Intrauterine copper contraceptive
    J7302 Levonorgestrel-releasing intrauterine contraceptive system, 52 mg
    J7303 Contraceptive supply, hormone containing vaginal ring, each
    J7304 Contraceptive supply, hormone containing patch, each
    J7306 Levonorgestrel (contraceptive) implant system, including implants and supplies
    S4993 Contraceptive pills for birth control

    However, I would check with your insurance companies to see if they even accept the modifier; from what I understand, some states' Medicaid programs require it.

    I hope this helps!
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  3. #3
    Cindy, thanks so much...yes it does help.

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