The NDC Code 50419-423-01 is assigned to a package of 1 intrauterine device in 1 carton of Mirena, a human prescription drug labeled by Bayer Healthcare Pharmaceuticals Inc.. The product's dosage form is intrauterine device and is administered via intrauterine form. What is the Proprietary Name?
This prevents sperm from traveling to and reaching the eggs. The IUD is a long-acting birth control that can be used to prevent more than pregnancy. Mirena can be used to treat endometriosis, as well as other conditions such as chronic pelvic pain and heavy periods.
Z30. 430 Encounter for insertion of intrauterine contraceptive device in ICD-10-CM.
J7298 Levonorgestrel-releasing intrauterine contraceptive system (Mirena®), 52 mg (6 year duration)
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
Report the supply separately using a HCPCS (Healthcare Procedural Coding System) code: J7307 Etonogestrel (contraceptive) implant system, including implant and supplies.
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 .
Procedure code J1050 will require the use of a modifier in order for Medicaid to identify when the injection is for contraceptive use versus non-contraceptive use. Reimbursement Amount: The reimbursement rate for J1050 is $0.20 per unit (1mg).
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 .
Do not bill an E/M for the visit when the patient returns to the office to have the IUD inserted. If, on the other hand, the patient presented for a discussion about contraception, and at that visit, it was decided than an IUD was the right choice for her, and no pre-authorization was required, both can be billed.
HCPCS Code J7307 Etonogestrel (contraceptive) implant system, including implant and supplies. J7307 is a valid 2022 HCPCS code for Etonogestrel (contraceptive) implant system, including implant and supplies or just “Etonogestrel implant system” for short, used in Other medical items or services.
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 .
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.
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.
Encounter for routine checking of intrauterine contraceptive device 1 Z30.431 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 Short description: Encounter for routine checking of intrauterine contracep dev 3 The 2021 edition of ICD-10-CM Z30.431 became effective on October 1, 2020. 4 This is the American ICD-10-CM version of Z30.431 - other international versions of ICD-10 Z30.431 may differ.
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 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.