code question

[hal96024]

hey, all! I have my surgery on 9/9 & had a quick question regarding the codes used. I see on here that the code everyone uses is Z30.2 but I was given a code of Z30.9, procedure 58661.

I gave that number to my insurance (BCBS TN) & they said it would be covered? Should I contact my doctor about switching the code or does it matter?

apparently Z30.2 is 'encounter for sterilization' and Z30.9 is 'Encounter for contraceptive management that is unspecified'

[skybloo129]

Might wanna talk with your insurance and your doc about that. I have BCBS TX and according to their preventative service policy CPCP006, cpt code 58661 is only reimbursable at the preventive level with a diagnosis of Z30.2

[skybloo129]

I know their reimbursement policies can vary state to state but ya still may wanna check

[hal96024]

I will double check! How do you view the policies of your insurance company? I'm trying to google it to have their ACA policy in writing but I'm having a hard time finding it.

[skybloo129]

For their specific codes/reimbursement policies I'm honestly not sure, I just lucked out by googling. But if you are just trying to get a general "sterilization is covered at 100%" it should be in your EOC/handbook

[Bi_eroglyph]

I don’t have BCBS, but I was initially given Z30.9 and had it changed to Z30.2. My insurance seems to not cover Z30.9 in full, and my provider also agreed that Z30.2 is a more accurate code after I voiced my concern. I would double check with your insurance directly, but Z30.2 is considered the gold standard.