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CPT code for ECP?

I'm not officially a coder, but I do the insurance billing in our small clinic, and as far as our nurse/supervisor is concerned, it's all the same thing.Well, I've actually learned some coding, mostly...

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Re: CPT code for ECP?

If you're billing Iowa Medicaid, then you need to go to them for their billing and coding guidelines and regulations.

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Re: CPT code for ECP?

Several websites list S4993, but that is for regular contraceptives. Michigan Medicaid website lists Z8505 and Z8506 as emergency contraceptives. I don't have my HCPCS manual to see if this is...

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Re: CPT code for ECP?

I don't know anything about Iowa Medicaid, but if it's anything like my state's, the drug is probably not covered for physician offices. Usually what happens when a drug is not covered (payable when...

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Re: CPT code for ECP?

Thank you to all of you for your informative reponses. When I contacted our medicaid offices, I learned that they cover ECP only with general medicaid and not with the Family Planning waiver and of...

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