When checking your IUD strings, follow these steps:
Short description: Insertion of iud. ICD-9-CM V25.11 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V25.11 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes).
Intrauterine devices (IUDs) are a form of birth control that prevents implantation of a fertilized egg in the uterus. IUDs can contain hormones that help prevent the implantation process.
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.
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.
The insertion and/or removal of IUDs are reported using one of the following CPT codes:58300 Insertion of IUD.58301 Removal of IUD.
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 .
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 .
Report the supply separately using a HCPCS (Healthcare Procedural Coding System) code: J7307 Etonogestrel (contraceptive) implant system, including implant and supplies.
J1050 Injection, medroxyprogesterone acetate, 1 mg is used to bill for the Depo- Provera drug administered. Since the description is for 1 mg, it is essential that you include 150 units on the claim to ensure appropriate reimbursement. Adjust units as needed to match dosage administered (e.g., 104 for SQ).
ICD-10 code R10. 2 for Pelvic and perineal pain is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
ICD-10 code N93. 9 for Abnormal uterine and vaginal bleeding, unspecified is a medical classification as listed by WHO under the range - Diseases of the genitourinary system .
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.
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.
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:
Ms. N. had a 52 mg, 5-year duration levonorgestrel IUD inserted six years ago. She sees Dr. O. for removal of the IUD and insertion of a new one. Ms. N. tells Dr. O. that she has had no problems with the IUD over the last few years. The nurse takes her vital signs. Dr. O. removes the IUD and inserts a new 52 mg, 5 year duration levonorgestrel IUD.
Ms. P. is 10 weeks pregnant and comes in to see Dr. Q. because of heavy vaginal bleeding. She had seen Dr. Q. previously for obstetric care. Dr. Q. performs an examination, asks some questions, and performs a limited ultrasound. He decides Ms. P.
Ms. R., an established patient, sees Dr. S. She had an IUD inserted 5 years ago but is now experiencing bleeding and cramping. Dr. S. does an expanded problem-focused examination and takes additional history. They discuss removal of the IUD and other possible contraceptive methods. After a brief discussion, Ms. R. selects the implant. Dr. S.
Ms. T. sees Dr. U. because she cannot feel the strings from an IUD inserted last year. Dr. U. completes an examination and locates the strings.
Ms. V. sees Dr. W., and requests insertion of a copper IUD. Ms. V. weighs 220 lbs and has a BMI of 40.2. Dr. W. inserts an IUD with some difficulty due to Ms. V.’s body habitus.
Ms. X. had an IUD inserted two years ago and is having severe cramping and menorrhagia. Dr. Y. does an examination, takes a history, and decides that the IUD is impacted. Dr. Y. completes a hysteroscopic removal of the IUD.
Ms. Z. sees Dr. A, and requests insertion of an IUD. She is a new patient. After a brief discussion of the benefits and risks, Dr. A. attempts to insert a copper IUD. Dr. A. tries several times to insert the device, but Ms. Z.’s cervical os is stenotic, and Ms. Z. is experiencing a great deal of pain. Dr. A. discontinues the procedure. Dr. A.