What to Expect After Your IUD Is Removed
To remove an IUD:
When checking your IUD strings, follow these steps:
58301Intrauterine devices include the copper IUD and the hormonal IUDs. The insertion and/or removal of IUDs are reported using one of the following CPT codes: 58300 Insertion of IUD. 58301 Removal of IUD.
Presence of (intrauterine) contraceptive device Z97. 5 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 Z97. 5 became effective on October 1, 2021.
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.
T83.32ICD-10-CM Code for Displacement of intrauterine contraceptive device T83. 32.
11982 Removal, non-biodegradable drug delivery implant. 11983 Removal with reinsertion, non-biodegradable drug delivery implant.
58562What is the appropriate CPT code to report for the removal of an embedded intrauterine device (IUD) using a hysteroscope, curette, and forceps? Answer: The appropriate code to report is 58562, Hysteroscopy, surgical; with removal of impacted foreign body.
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).
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.
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).
However, if your IUD becomes displaced, the signs and symptoms will typically include: not being able to feel the IUD strings with your fingers. feeling the plastic of the IUD. your partner being able to feel your IUD during sex.
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.
11983Etonogestrel implant system, including implant and supplies....Possible billing codes for NEXPLANON.Possible CPT ® Administration CodesDefinition11983Removal, with reinsertion, non-biodegradable drug delivery implant.2 more rows
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:
They may not be reported prior to effective date. The CPT procedure codes do not include the cost of the supply. Report the supply separately using a HCPCS (Healthcare Procedural Coding System) code: J7307 Etonogestrel [contraceptive] implant system, including implant and supplies.
V25.12 is a legacy non-billable code used to specify a medical diagnosis of encounter for removal of intrauterine contraceptive device. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
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.