A 28-year-old patient was seen today for her annual physical exam by her OB/GYN. After discussion with the physician, the patient expressed her decision to have her IUD removed as she and her husband are ready to begin a family. This procedure was performed at this visit. Select the appropriate ICD-10-CM and CPT code(s):

Question

Quizplus · Accepted Answer

The ICD-10-CM code Z00.00 is used for a general adult medical examination without abnormal findings. Z30.432 is for the removal of an IUD. CPT code 99395 is for a preventive medicine service for an established patient aged 18-39 years, and 58301 is for the removal of an IUD. The modifier -25 indicates a significant, separately identifiable evaluation and management service was provided on the same day as the procedure.

A 28-Year-Old Patient Was Seen Today for Her Annual Physical