Overcome IUD Coding Controversies by Asking 3 Questions and Probing Payer Policies
Published on Fri Oct 09, 2009
Despite ACOG's latest guidance, you need each payer's preference in writing -- or else. If you are constantly frustrated because your payer guidelines are all over the place when it comes to intrauterine devices (IUDs), then you're not alone. Some payers will reimburse IUD insertions but not removals, while others will include IUD removals in both office visits. Traverse this veritable coding obstacle course by asking the following three questions. You'll learn more about a new coding stance from ACOG and pinpoint exactly what you should ask your payers to avoid both denials and missed ethical reimbursement opportunities. Sort Out Your Procedure, Diagnosis, and Supply Codes Question 1: What CPT and ICD-9 codes should I report when an ob-gyn inserts or removes an IUD? Answer 1: When your ob-gyn inserts an IUD, you should report 58300 (Insertion of intrauterine device [IUD]), says Christine Smith, office manager at Womencare OBGYN in Newton, [...]