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Onslow County approves health department fee updates, adds two IUD codes and corrects contraceptive supply codes
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Summary
The Board of Commissioners approved health department fee-schedule changes on Oct. 20, adding two long-acting reversible contraceptive CPT codes effective Oct. 1, retroactively adding a lesion-destruction CPT code to Aug. 22, and correcting two transposed contraceptive supply codes; the motion passed 6-1.
The Onslow County Board of Commissioners voted 6 to 1 on Oct. 20 to approve revisions to the county health department—s fee schedule that add two new intrauterine device (IUD) codes, establish an existing lesion-destruction code retroactive to Aug. 22, and correct two transposed contraceptive supply codes.
Chrissy Hoover, Onslow County health director, told the board the department reviewed Medicaid fee updates and identified two CPT codes to add to the family-planning clinic: J7301 (Skyla, a three-year hormonal IUD) and J7296 (a five-year hormonal IUD), both effective Oct. 1. Hoover said the additional IUD options broaden access to long-acting reversible contraceptives for patients who have never given birth and provide lower-dose hormonal options.
Hoover also asked the board to add CPT 46900 (chemical lesion destruction, e.g., trichloroacetic acid for certain wart or lesion treatments) retroactive to Aug. 22 so the department could capture reimbursement for services already provided. Finally, she said two contraceptive supply codes had been transposed in a previous submission; A4267 was incorrectly listed as female condom supply but actually corresponds to male condom supply, and A4268 vice versa. The requested change corrects that transposition.
The board approved the request by motion and voice vote; the clerk recorded the outcome as "Motion carries 6 to 1." No further discussion or roll-call vote was recorded in the transcript.
No specific fee-dollar amounts were stated in the public record during the presentation; the health director indicated the effective dates and code clarifications were the primary action requested.
