Ultrasound is an excellent tool to confirm the location of an intrauterine device. You can perform this exam after insertion to confirm placement or during the life of the IUD. We always suggest imaging transabdominally first. Image A is an image of an anteflexed uterus with an IUD. The bladder is empty.
Why ICD-10 codes are important
Z30.430Z30. 430 Encounter for insertion of intrauterine contraceptive device in ICD-10-CM.
HCPCS codes for the 13.5 mg levonorgestrel-releasing IUD (J7301) (brand name Skyla) and the intrauterine copper contraceptive (J7300) (brand name ParaGard) remain unchanged. The coding system is not a methodology for making coverage or payment determinations.
433: Encounter for removal and reinsertion of intrauterine contraceptive device.
T83.39XAICD-10-CM Code for Other mechanical complication of intrauterine contraceptive device, initial encounter T83. 39XA.
There is NOT one singular code that describes an IUD removal and reinsertion. It is essential that you code and bill BOTH the CPT code 58301 for the IUD removal and 58300 for the IUD reinsertion with a modifier 51 on the second procedure in order to be paid appropriately for the services.
Encounter for surveillance of implantable subdermal contraceptiveICD-10 code Z30. 46 for Encounter for surveillance of implantable subdermal contraceptive is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Report the supply separately using a HCPCS (Healthcare Procedural Coding System) code: J7307 Etonogestrel (contraceptive) implant system, including implant and supplies.
The new code is J1050, medroxyprogesterone acetate, 1 mg. To use it, you must indicate the dosage as a quantity. For example, if you injected 150 mg, you would use code J1050 x 150 on the claim.
The modifier 51 (multiple procedures) is added to CPT code 58300 to indicate the additional procedure (IUD insertion) performed at the same session as the primary procedure (delivery). The diagnosis code is Z30. 430 (insertion of intrauterine contraceptive device).
We defined “retained IUDs” to refer to cases when the IUD was confirmed to be in the uterine cavity by ultrasound, and the attempts to remove the IUD in an office setting without ultrasound failed.
Pelvic infection or an IUD that is translocated, embedded or expelled can cause pain. In the first few weeks after placement, pain and cramping can be normal. Discomfort can be managed with NSAIDS and/or referral.
Modifier 22 applies to CPT code for IUD removal 58301 when services perform longer than usual and take extra resources during the procedure. Modifier 23 is applicable with CPT code for IUD removal 58301 when general or local anesthesia administers by the Physician and routinely does not require during the procedure.