(A) "Preconception care" means medicaid-covered preventive medicine services provided prior to a pregnancy for the purpose of achieving optimal outcome of future pregnancies.
(B) Medicaid covered preconception care services may include, but are not limited to:
(1) Laboratory tests and procedures including but not limited to:
(a) Screening, diagnostic, and counseling services for detection of genetic anomalies and/or hereditary metabolic disorders, including but not limited to:
(i) Chromosomal anomalies (in non-pregnant patients) that have neonatal implications;
(ii) Sickle cell and other abnormal hemoglobin syndromes;
(iii) Metabolic disorders such as phenylketonuria (PKU), galactosemia, or homocystinuria; and
(iv) Cystic fibrosis (carrier status);
(b) Screening for, diagnosis of, and treatment of sexually transmitted diseases and infections;
(2) Individual preventive medicine counseling and or risk factor reduction(s) (health education), in accordance with appendix DD to rule 5101:3-1-60 of the Administrative Code.
(C) For reimbursement of preconception care services medicaid providers must use:
(1) Valid medicaid-covered CPT and/or HCPCS procedure codes as defined in paragraph (D) of rule 5101:3-1-19.3 of the Administrative Code; and
(2) Appropriate "International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)" diagnosis codes V 26.31 through V 26.4, V 26.8, and/or V 26.9 to indicate an encounter for preconception care.