Basic IUD coding. V25.12 Removal of intrauterine contraceptive device or Z30.432 Encounter for removal of intrauterine contraceptive device in ICD-10-CM. V25.13 Removal and reinsertion of intrauterine contraceptive device or Z30.433 Encounter for removal and reinsertion of intrauterine contraceptive device in ICD-10-CM.
Encounter for removal and reinsertion of intrauterine contraceptive device. Z30.433 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM Z30.433 became effective on October 1, 2018.
Out-Patient Procedure Codes – CPT Codes 58300 Insertion, intrauterine device 58301 Removal, intrauterine device 81025 Pregnancy test Telehealth Encounter Codes – CPT Codes -95 Use this modifier with the appropriate office visit to indicate a real-time audio and video telehealth visit.
These codes are: V25.5 Encounter for contraceptive management, insertion of implantable subdermal contraceptive or Z30.018 Encounter for initial prescription of other contraceptives in ICD-10-CM.
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.
The insertion and/or removal of IUDs are reported using one of the following CPT codes:58300 Insertion of IUD.58301 Removal of IUD.
11983The insertion and/or removal of the implant are reported using one of the following CPT (Current Procedural Terminology) codes: 11981 Insertion, non-biodegradable drug delivery implant. 11982 Removal, non-biodegradable drug delivery implant. 11983 Removal with reinsertion, non-biodegradable drug delivery implant.
Encounter for surveillance of other contraceptivesICD-10 code Z30. 49 for Encounter for surveillance of other contraceptives is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health 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 .
O26.30Retained intrauterine contraceptive device in pregnancy, unspecified trimester. O26. 30 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM O26.
Encounter for initial prescription of implantable subdermal contraceptiveICD-10 code Z30. 017 for Encounter for initial prescription of implantable subdermal contraceptive is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
CPT® Code 81003 in section: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents.
99395- Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years.
T83.39XAICD-10 code T83. 39XA for Other mechanical complication of intrauterine contraceptive device, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
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.
V45.52V45. 52 - Presence of subdermal contraceptive implant. ICD-10-CM.
CPT code 58562 Hysteroscopy, surgical; with removal of impacted foreign body is used to report an impacted IUD. Providers are encouraged to check with their payers.
HCPCS code J7298 for Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg as maintained by CMS falls under Contraceptive Systems.
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.
Because of the Affordable Care Act (aka Obamacare), most health insurance plans must cover all doctor's visits related to birth control, including IUD removal.
The 2022 edition of ICD-10-CM Z30.432 became effective on October 1, 2021.
Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
The diagnostic coding will vary, but usually will be selected from the Encounter for Contraceptive Management code series - V25 in ICD-9-CM or Z30 in ICD-10-CM. These codes are:
Note: ICD-10 codes are scheduled to go into effect October 1, 2015. They may not be reported prior to effective date.
A modifier 25 (significant, separately identifiable E/M service on the same day as a procedure or other service) is added to the E/M code to indicate that this service was significant and separately identifiable from the insertion. This indicates that two distinct services were provided: an E/M service and a procedure.
If discussion of contraceptive options takes place during the same encounter as a procedure, such as insertion of a contraceptive implant or IUD, it may or may not be appropriate to report both an E/M services code and the procedure code:
If the discussion takes place during a preventive visit (99381– 99387 or 99391–99397), it is included in the Preventive Medicine code. The discussion is not reported separately.
If the clinician and patient discuss a number of contraceptive options, decide on a method, and then an implant or IUD is inserted during the visit, an E/M service may be reported, depending on the documentation.
58562 Hysteroscopy, surgical; with removal of impacted foreign body#N#If the IUD is not impacted, you should not choose removal of impacted foreign body.#N#For IUD removal and hysteroscopy with D&C, I would code#N#58558 Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C#N#58301 Removal of intrauterine device (IUD)#N#T19.3XXA Foreign body in uterus, initial encounter#N#Parent Code Notes: T19#N#Excludes2: complications due to implanted mesh (T83.7-)#N#mechanical complications of contraceptive device (intrauterine) (vaginal) (T83.3-)#N#presence of contraceptive device (intrauterine) (vaginal) (Z97.5)#N#The excludes guidance tells you not to use for IUD. I would consider Z30.432 or T83.3- based on clinical information.
If the hysteroscopy is just to remove a non-impacted IUD because the strings are lost, 58562 is not the correct code. There is no exact code for that scenario, but I use 58555.