Ob-Gyn Coding Alert

Your J codes should distinguish Paraguard and Mirena IUDs. Bonus question: Can my practice get paid separately for supplies? Answer: "The only supply code you should bill is for the IUD itself," says Patricia Larabee, CPC, CCP-P, coding specialist for InterMed in South Portland, Maine. You'll find two basic types of IUDs: copper-bearing, such as Paraguard; and progestinreleasing, such as Mirena. HCPCS lists two separate supply codes for the IUD: • J7300 (Intrauterine copper contraceptive) for copper-bearing IUDs • J7302 (Levonorgestrel-releasing intrauterine contraceptive system, 52 mg) for progestin-releasing IUDs. If you're submitting a supply code to a private payer that accepts S codes (such as Blue Cross Blue Shield), you can report S4981 (Insertion of levonorgestrelreleasing intrauterine system) alternatively for a progestin-releasing IUD. You can bill for the supplies only if your practice purchases them ahead of time and keeps a supply in the office, points out Veronica Antonelli, coding [...]