Use Unlisted Code For JADA® System Removal
Question: How should I bill for JADA® removal? Should I use an unlisted code? If so, what code should I use as a comparison code? Delaware Subscriber Answer: There is currently no CPT® code for this procedure so you would report 59899 (Unlisted procedure, maternity care and delivery). When you bill, you would be charging for the complete procedure: from the insertion to monitoring to ensure the bleeding has stopped to removal, and then the 30-minute observation period as a follow-up to ensure bleeding does not return. You should not code for the removal separately but rather incorporate all the work into one charge using the unlisted code. Other coders suggest using comparison codes, such as 59160 (Curettage, postpartum), 58353 (Endometrial ablation, thermal, without hysteroscopic guidance), or 58563 (Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation). You should ask your provider to indicate which procedure they think the work was closest to. If your payer does not accept an unlisted code, you will add modifier 22 (Increased procedural service) to the delivery code for the use of this system and try to get reimbursed that way. Note: For anyone wanting to know more about how the JADA® is applied, removed, and the required follow-up, see this PDF. Suzanne Burmeister, BA, MPhil, Medical Writer and Editor
