For medically induced abortions by oral ingestion of medication use S0199 for all visits, counseling, lab tests, ultrasounds, and supplies. S0199 is a global package except for medication:

1. (1) Bill medications with codes S0190-S0191 and appropriate HCPCS codes.
2. (2) For surgical abortions use CPT codes 59840 through 59857:
3. (3) For services related to surgical abortion such as lab, ultrasound and pathology bill separately. Add modifier U4 (a Division of Medical Assistance Programs (Division) modifier) for surgical abortion related services.
4. (4) Use the most appropriate ICD-10 diagnosis code.

Statutory/Other Authority

ORS 413.042

Statutes/Other Implemented

ORS 414.025 & 414.065

History

DMAP 51-2015, f. 9-22-15, cert. ef. 10-1-15
OMAP 69-2003, f. 9-12-03, cert. ef. 10-1-03
OMAP 23-2003, f. 3-26-03, cert. ef. 4-1-03
OMAP 2-2002, f. 2-15-02, cert. ef. 4-1-02
OMAP 31-2000, f. 9-29-00, cert. ef. 10-1-00
OMAP 3-1998, f. 1-30-98, cert. ef. 2-1-98
HR 4-1997, f. 1-31-97, cert. ef. 2-1-97
HR 10-1996, f. 5-31-96, cert. ef. 6-1-96
HR 42-1994, f. 12-30-94, cert. ef. 1-1-95
HR 6-1994, f. & cert. ef. 2-1-94
HR 23-1992, f. 7-31-92, cert. ef. 8-1-92
HR 8-1992, f. 2-28-92, cert. ef. 3-1-92
HR 43-1991, f. & cert. ef. 10-1-91
HR 19-1991, f. 4-12-91, cert. ef. 5-1-91