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Diaphragm for contraceptive use

HCPCS code

Medical Policies and Guidelines for Diaphragm for contraceptive use

Related policies from health plans

Preventive Care Services - (A004)

Similar Codes


ICD10CM codes

O26.31 - Retained intrauterine contraceptive device in pregnancy, first trimester
Z30.46 - Encounter for surveillance of implantable subdermal contraceptive
O26.3 - Retained intrauterine contraceptive device in pregnancy
Z30.017 - Encounter for initial prescription of implantable subdermal contraceptive
Z30.014 - Encounter for initial prescription of intrauterine contraceptive device
O26.32 - Retained intrauterine contraceptive device in pregnancy, second trimester
Z30.430 - Encounter for insertion of intrauterine contraceptive device
Z30.431 - Encounter for routine checking of intrauterine contraceptive device
Z97.5 - Presence of (intrauterine) contraceptive device
Z30.43 - Encounter for surveillance of intrauterine contraceptive device

HCPCS codes

A4266 - Diaphragm for contraceptive use
A4267 - Contraceptive supply, condom, male, each
A4264 - Permanent implantable contraceptive intratubal occlusion device(s) and delivery system
S4989 - Contraceptive intrauterine device (e.g., progestacert iud), including implants and supplies
S4993 - Contraceptive pills for birth control
C2627 - Catheter, suprapubic/cystoscopic
C1726 - Catheter, balloon dilatation, non-vascular
S4981 - Insertion of levonorgestrel-releasing intrauterine system
A4618 - Breathing circuits
A4562 - Pessary, non rubber, any type

CPT4 codes

57170 - Diaphragm or cervical cap fitting with instructions
39599 - Unlisted procedure, diaphragm
11976 - Removal, implantable contraceptive capsules
00756 - Anesthesia for hernia repairs in upper abdomen; transabdominal repair of diaphragmatic hernia
58300 - Insertion of intrauterine device (IUD)
01966 - Anesthesia for induced abortion procedures
39560 - Resection, diaphragm; with simple repair (eg, primary suture)
58565 - Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement o
39561 - Resection, diaphragm; with complex repair (eg, prosthetic material, local muscle flap)
46604 - Anoscopy; with dilation (eg, balloon, guide wire, bougie)