{"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":"2026-10-05T14:00:48","modified_gmt":"2026-10-05T14:00:48","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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Select any of the topics below to jump to specific Ordering & Billing sections:<\/strong><\/p>\n\n\n\n

Claim and Coding Information ><\/strong><\/a>     Health Insurance Coverage ><\/strong><\/a>     Ordering NEXPLANON ><\/strong><\/a>     CCAPN ><\/a><\/strong><\/p>\n\n\n\n

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Claim and Coding Information<\/h2>\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\n\n\n

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For more information about claims, billing, and coding for NEXPLANON, including some troubleshooting tips and related forms, please visit the Organon Access Program website.<\/strong><\/p>\n\n\n\n

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Organon Access Program<\/a><\/div>\n<\/div>\n\n\n\n
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Health Insurance Coverage<\/h2>\n\n\n\n

NEXPLANON is covered by most healthcare plans.a<\/sup> If you need assistance determining coverage for your patients, please visit the Organon Access Program website for more information.<\/p>\n\n\n\n

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Organon Access Program<\/a><\/div>\n<\/div>\n\n\n\n
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a<\/sup>The cost of NEXPLANON depends on a patient\u2019s insurance plan. Some patients may have coverage for NEXPLANON with out-of-pocket expenses, including a deductible, co-payment, or other charges. Patients may pay additional charges in connection with the insertion and\/or removal of NEXPLANON (eg, office visit co-pay). You should confirm each patient\u2019s coverage and cost-sharing obligations with the relevant payer.<\/p>\n\n\n\n

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Ordering NEXPLANON<\/h2>\n\n\n\n

There are multiple ways to order NEXPLANON. Below is contact information for each ordering entity. For more details on each procurement method below, please see the Organon Access Program website.<\/p>\n\n\n\n

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Organon Access Program<\/a><\/div>\n<\/div>\n\n\n\n
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Ordering through Specialty Distributors\/Buy and Bill<\/strong><\/p>\n\n\n\n

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CuraScript SD<\/h3>\n\n\n\n
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Mon-Fri, 8 AM-7 PM ET
Phone:<\/strong> 877-599-7748
FAX:<\/strong> 866-389-7928
URL:<\/strong> CuraScriptSD.com\/nexplanon<\/a><\/p>\n<\/div>\n\n\n\n

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McKesson Medical-Surgical<\/h3>\n\n\n\n
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Mon-Fri, 8 AM-8 PM ET
Phone:<\/strong> 855-571-2100
FAX:<\/strong> 800-311-3408
URL:<\/strong> Portal.mms.mckesson.com<\/a><\/p>\n<\/div>\n<\/div>\n\n\n\n

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ICS Direct (Formerly TheraCom)<\/h3>\n\n\n\n
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Mon-Fri, 8 AM-6 PM CT
Phone:<\/strong> 866-318-3492
FAX:<\/strong> 866-769-3882
URL:<\/strong> myorders.icsconnect.com<\/a><\/strong><\/p>\n<\/div>\n\n\n\n

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Ordering through Specialty Pharmacies\/AOB<\/h3>\n\n\n\n
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Walgreens Specialty Pharmacy<\/h3>\n\n\n\n
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Mon-Fri, 8 AM-8 PM ET
Phone:<\/strong> 800-516-9180
Fax:<\/strong> 877-231-8302<\/p>\n<\/div>\n\n\n\n

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CVS Specialty Pharmacy<\/h3>\n\n\n\n
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Mon-Fri, 8 AM-8 PM ET
Phone: <\/strong>800-237-2767
URL:<\/strong> cvsspecialty.com<\/a><\/p>\n<\/div>\n<\/div>\n\n\n\n

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Ordering through other methods, available in select states<\/h3>\n\n\n\n
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MyIUDSupply.com<\/strong>
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