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Elizabeth M. Whitehorn, Director

Provider Notice issued 04/29/16

Coding for Emergency Contraceptive Pills (ECPs)

 

​To: ​Participating Physicians, Advanced Practice Nurses, Local Health Departments, Encounter Rate Clinics, Federally Qualified Health Centers, Rural Health Clinics, Pharmacies, and School Based/Linked Health Centers
​Date: ​April 29, 2016
​Re: ​Coding for Emergency Contraceptive Pills (ECPs)

The purpose of this notice is to inform providers of Emergency Contraceptive Pills (ECPs) fee-for-service billing changes. No other billing processes are affected by this change.

Effective with dates of service June 1, 2016 and after, the Department will no longer reimburse ECPs billed with procedure code S4993. All ECPs must be billed using J8499 effective with dates of service June 1, 2016 and after.

Questions related to this notice should be directed to the Bureau of Professional and Ancillary Services at 1-877-782-5565.

Felicia F. Norwood
Director