Ob-Gyn Coding Alert

Delete this old HCPCS code from your potential options.

If your practice sees patient for intrauterine devices, then you need to heed this change to your HCPCS coding options.

First of all, you need to strike off HCPCS code J7302 (Levonorgestrel-releasing intrauterine contraceptive system, 52 mg) from your coding options. Effective January 1, 2016, CMS discontinued the use of this code.

Instead, you have two approved 52 mg dosage levonorgestrel-releasing intrauterine contraceptive systems (IUS) approved for use in the US. However, they have differences in:

• Indications, and
• product life effectiveness.

Specifically, you’ll find that the Mirena product is approved for the treatment of heavy menstrual bleeding in IUD users and for 5 years of contraceptive use (J7298, Levonorgestrel-releasing intrauterine contraceptive system, 52mg, 5 year duration).

On the other hand, your physicians will use the Liletta product for 3 years of contraceptive use (J7297, Levonorgestrel-releasing intrauterine contraceptive system, 52mg, 3 year duration ).

Example: A patient presents to your practice with heavy menstrual bleeding, and she wants a long term contraceptive. Your physician inserts a Mirena product. For this encounter, you would report 58300 (Insertion of intrauterine device [IUD]) and J7298. You would include Z30.430 (Encounter for insertion of intrauterine contraceptive device).

Remember to contact your specific payer for their reporting instructions because payer guidelines may vary. Be sure to get your instructions in writing.

Note: HCPCS code J7301 (Levonorgestrel-releasing intrauterine contraceptive system, 13.5 mg) and J7300 (Intrauterine copper contraceptive) remain unchanged.