{"id":10542,"date":"2025-12-18T20:21:09","date_gmt":"2025-12-18T20:21:09","guid":{"rendered":"https:\/\/organonpro.com\/en-us\/product\/nexplanon\/ordering-billing\/"},"modified":"2026-01-28T13:55:32","modified_gmt":"2026-01-28T13:55:32","slug":"ordering-billing","status":"publish","type":"product","link":"https:\/\/organonpro.com\/en-us\/product\/nexplanon\/ordering-billing\/","title":{"rendered":"Ordering & Billing"},"content":{"rendered":"\n
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Download the
NEXPLANON Navigator:<\/h2>\n\n\n\n

The comprehensive resource for your ordering, billing, and reimbursement needs.<\/p>\n\n\n\n

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Click here<\/a><\/div>\n<\/div>\n\n\n\n
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Possible billing codes<\/h2>\n\n\n\n

To accurately bill and obtain reimbursement, it\u2019s important for you to know which billing codes to use to describe NEXPLANON and any procedures related to it.

The codes listed below may be relevant when billing for NEXPLANON and its insertion or removal. The information available here is compiled from sources believed to be accurate, but Organon makes no representation that it is accurate. This information is subject to change. Payer coding requirements may vary or change over time, so it is important to regularly check with each payer as to payer-specific requirements.

The information available here is not intended to be conclusive or exhaustive, and is not intended to replace the guidance of a qualified professional advisor. Organon and its agents make no warranties or guarantees, expressed or implied, concerning the accuracy or appropriateness of this information for your particular use given the frequent changes in public and private payer billing.
The use of this information does not guarantee payment or that any payment received will cover your costs.

You are solely responsible for determining the appropriate codes and for any action you take in billing. Diagnosis codes should be selected only by a healthcare professional, and should appropriately reflect the diagnosis, the services rendered, and the applicable payer\u2019s guidelines.

Consult the relevant manual and other guidelines for a description of each code to determine the appropriateness of a particular code and for information on additional codes.<\/strong><\/p>\n<\/div>\n<\/div>\n\n\n\n

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Billing codes<\/h2>\n\n\n\n

Please note: Other codes may also be appropriate for NEXPLANON; consult the ICD-10-CM Manual to check the appropriateness of a particular code and for information on additional codes.<\/h5>\n\n\n\n
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Definitions<\/h3>\n\n\n\n
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CPT = Current Procedural Terminology. CPT Copyright 2017 American Medical Association. All rights reserved. CPT\u00ae<\/sup> is a registered trademark of the American Medical Association. CPT 2018 Professional Edition. Chicago, Ill: American Medical Association, 2017.
ICD-10 = International Classification of Diseases, Tenth Revision, Clinical Modification. National Center for Health Statistics, Centers for Disease Control and Prevention. FY 2018 ICD-10-CM. Available at: https:\/\/www.cdc.gov\/nchs\/icd\/icd-10-cm.htm.<\/a>
J-code = J-codes are part of the Healthcare Common Procedure Coding System (HCPCS). Centers for Medicare and Medicaid Services. 2018 Alpha-Numeric HCPCS File. Available at: https:\/\/www.cms.gov\/Medicare\/Coding\/HCPCSReleaseCodeSets\/Alpha-Numeric-HCPCS-Items\/2018-Alpha-Numeric-HCPCS-File-.html.<\/a>
NDC = National Drug Code.<\/p>\n","protected":false},"author":302,"featured_media":0,"parent":10437,"menu_order":2,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"product_categories":[20],"product_specialization":[],"customer_type":[],"class_list":["post-10542","product","type-product","status-publish","hentry","product_categories-womens-health"],"acf":[],"yoast_head":"\nOrdering, Billing, and Reimbursement for NEXPLANON\u00ae (etonogestrel implant) 68 mg Radiopaque<\/title>\n<meta name=\"description\" content=\"Access ordering and billing information for NEXPLANON\u00ae, including billing codes, reimbursement details, and resources to support accurate claims.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/organonpro.com\/en-us\/product\/nexplanon\/ordering-billing\/\" \/>\n<meta property=\"og:locale\" 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