HRT code refers to a medical billing code used to describe and bill for hormone replacement therapy (HRT). HRT is a treatment that replaces hormones when the body is not making enough on its own, usually during menopause or andropause.
Some key things to know about HRT codes:
- They are part of the medical coding system used by physicians, hospitals, labs and other healthcare providers to describe medical diagnosis and treatments on insurance claims. Understanding codes is crucial for accurate billing and reimbursement.
- HRT codes fall under the Current Procedural Terminology (CPT) code set maintained by the American Medical Association. This is the standard code set used to bill outpatient and office procedures.
- Common HRT CPT codes include:
- 56441 - Insertion of vaginal hormone pellet
- 11980 - Subcutaneous hormone pellet implantation
- 96372 - Therapeutic, prophylactic, or diagnostic injection
- J3490 - Unclassified drug code (for compounded HRT preparations)
- HRT treatments may also be billed using ICD-10 diagnosis codes like E28.310 - Primary ovarian failure, and Z79.890 - Hormone replacement therapy.
When billing for HRT, it is important to use codes that accurately describe:
- The reason treatment is needed (menopause, low testosterone, etc)
- The type of hormone therapy provided (estrogen, testosterone, etc)
- The method of administration (oral, patch, pellet, injection)
- Any counseling or lab work associated with HRT treatment
Using detailed HRT coding helps demonstrate medical necessity to insurance payers and enables maximum appropriate reimbursement.
At
Hormone Harmony Clinic our experts stay up-to-date on the latest medical coding guidelines and work diligently to ensure accurate coding and billing of your HRT treatment. We offer both traditional HRT options as well as cutting edge therapies like bioidentical hormone pellet therapy.
Some key
benefits of our HRT services include:
- Personalized treatment plans tailored to your unique hormonal needs
- Both traditional and bioidentical hormone therapies
- Smooth billing and coding process resulting in optimum insurance coverage
- Ongoing patient education and counseling at no added change
- Convenient virtual and in-person consultation options
With Hormone Harmony Clinic you get the best of both worlds - top notch HRT treatment integrated with expert medical coding and billing support.
So whether you are new to HRT or exploring alternative options like pellet therapy, let our team help guide your treatment while optimizing insurance coverage every step of the way. Contact us today to learn more or schedule a consultation!
