If ultrasound is used, add code 76998 (ultrasonic guidance, intraoperative). ICD-10-CM code Z30.431 (encounter for routine checking of intrauterine contraceptive device) is assigned for a follow-up visit in the office to check the proper placement of the IUD.
Encounter for routine checking of intrauterine contraceptive device. Z30.431 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM Z30.431 became effective on October 1, 2018.
IUD Reassessment ICD-10-CM code Z30.431 (encounter for routine checking of intrauterine contraceptive device) is assigned for a follow-up visit in the office to check the proper placement of the IUD.
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.
Z30. 430 Encounter for insertion of intrauterine contraceptive device in ICD-10-CM.
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).
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.
3D ultrasound is the best way to determine whether an IUD is correctly positioned because it uses 3D volume views of the uterus. Providing access to the coronal plane shows the position of the IUD in relation to the endometrium and surrounding myometrium.
Inter-Periodic Visit & IUD: If the only reason that the beneficiary is seen in the office is to request an IUD insertion (CPT procedure code 58300) or an IUD removal (CPT procedure code 58301), providers should not bill a separate inter-periodic office visit.
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.
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.
Coding for IUD Insertion and E/M ServiceCPT Procedures and ServicesDiagnosis(es)58300 Insertion of IUDZ30.430 Encounter for insertion of intrauterine contraceptive device4 more rows
The difference between sonogram and ultrasound However, there's a difference between the two: An ultrasound is a tool used to take a picture. A sonogram is the picture that the ultrasound generates. Sonography is the use of an ultrasound tool for diagnostic purposes.
Feel for your cervix, which is hard and rubbery, like the tip of your nose. The strings should come through your cervix. Feel for the strings, but don't pull them. If they feel the same every month, your IUD is likely in place.
In most procedures involving uterine instrumentation, a tenaculum is used for stabilization and traction of the cervix and to decrease the flexion of the uterus to ease passage of instruments into the endometrial cavity.
However, the ultrasonography may be used to confirm the location of teh IUD when the physician incurs a difficult IUD placement (e.g., severe pain, uterine performation, etc.). If ultrasound is used, one of the following codes is added: code 76857. Code 76830. Occasionally, ultrasound is needed to guide IUD insertion.
01077395. "The use of ultrasound to check IUD placement is not bundled into the IUD insertion code and it is not common practice to use ultrasound to confirm placement. Therefore, this should not be routinely billed.
If ultrasound is used, one of the following codes is added: Code 76857 Ultrasound, pelvic [nonobstetric], real time with.
A modifier 53 (discontinued procedure) is added to code 58300 (insertion of IUD) (i.e., 58300-53). This modifier is used when a procedure is started but discontinued and no other procedure is performed during the visit.
ICD-10-CM code Z30.46 (encounter for surveillance of implantable subdermal contraceptive) is assigned for a follow-up visit in the office to check, reinsert, or remove the implant. If the patient has symptoms, report these as secondary diagnoses. For example, code S40.021 (contusion of right upper arm) or other physical symptoms such as code R11.0 (nausea)
The insertion and/or removal of the implant are reported using one of the following CPT ® * codes:
The insertion and/or removal of IUDs are reported using one of the following CPT codes:
Under some circumstances, an Evaluation and Management (E/M) services code, a procedure code, and a HCPCS code, may all be reported. Documentation must support each billing code.
Coding guidance for specific LARC clinical scenarios can also be found on the ACOG LARC Program website and the ACOG Department of Coding and Nomenclature website.