Attention: Providers Clinical Policy 1E-7 Family Planning Services Update

Effective October 1, 2015, diagnosis codes Z01.411 (encounter for gynecological examination, general, routine, with abnormal findings) and Z01.419 (encounter for gynecological examination, general, routine, without abnormal findings) are covered for recipients with MAFDN eligibility. Providers should resubmit previously denied claims that meet timely filing requirements.

For more information, providers should refer to DMA's Obstetrics and Gynecology Clinical Coverage Policy page. Providers with questions can contact the CSRA Call Center at 1-800-688-6696 or NCTracksprovider@nctracks.com.