Ob-Gyn Coding Alert

Look for a permanent J code next year.

If your ob-gyn is beginning to provide Kyleena (levonorgestrel releasing intrauterine system, 19.5 mg) for patients seeking reversible birth control, then you will now have a temporary supply code to use as of July 1.

Get ready to use Q9984 (Levonorgestrel-releasing intrauterine contraceptive system [Kyleena], 19.5 mg).

“The Kyleena representative was in our office today, and I asked her if Q9984 was for Medicare only. She said it’s for all insurances (and actually Medicare doesn’t cover IUDs at all),” says Lana Owen, CPC, coder at OB/GYN Associates in Cookeville, Tennessee. However, beware. “When I’ve questioned a couple of insurances/Medicaid about reimbursement, they told me to file a claim and that will tell us what the reimbursement is. That’s not how we operate! We find out the reimbursement before we insert the device to make sure the allowable covers our cost.”

Example: A patient presents to your office requesting Kyleena. She has no contraindications to prevent the insertion, so the ob-gyn inserts the device. For this encounter, you should report 58300 (Insertion of intrauterine device [IUD]). Link this code with Z30.430 (Encounter for insertion of intrauterine contraceptive device). Then you will apply Q9984 to reflect the Kyleena IUD.

Heads up: You’ll have a new J code to use as of January 1, 2018. That’s why you should pay attention to the Ob-gyn Coding Alert for the latest news.