armymomryan
Guru
Wondering if anyone can help with this;
We are located in the Atlanta area and my doctors do IUD's as well as insertion of implatable contraceptive capsules.
I am finding that compared to what the doctors are paying for the drugs and what the insurances allowables are, we are barely making money on these, and at times even losing money.
I know that other doctors must be making money on the IUD's or they wouldn't be doing them.
Below are; 1) the codes with description, 2) the cost of the drugs to our practice and,
3) the billing/coding combinations we are using to bill out services.
CODE
11975 - Insertion, implantable contraceptive capsules
11981 - Insertion, non-biodegradable drug delivery implant
11983 - Removal with reinsertion, non-biodegradable drug delivery implant
58300 - Insertion of IUD
J7300 - Paragard IUD
J7302 - Mirena IUD J
7306 - Levonorgestrel
J7307 - Implanon
J1055/J1051 - Depo-provera
Cost to practice
J7300 - $625.00
J7302 - $701.00
J7307 - $625.00
J1051/J1055 - $23.35
Billing Combinations
58300,J7300
58300,J7302
11981,J7306
11981,J7307
11975,J7302
Any advice?
We are located in the Atlanta area and my doctors do IUD's as well as insertion of implatable contraceptive capsules.
I am finding that compared to what the doctors are paying for the drugs and what the insurances allowables are, we are barely making money on these, and at times even losing money.
I know that other doctors must be making money on the IUD's or they wouldn't be doing them.
Below are; 1) the codes with description, 2) the cost of the drugs to our practice and,
3) the billing/coding combinations we are using to bill out services.
CODE
11975 - Insertion, implantable contraceptive capsules
11981 - Insertion, non-biodegradable drug delivery implant
11983 - Removal with reinsertion, non-biodegradable drug delivery implant
58300 - Insertion of IUD
J7300 - Paragard IUD
J7302 - Mirena IUD J
7306 - Levonorgestrel
J7307 - Implanon
J1055/J1051 - Depo-provera
Cost to practice
J7300 - $625.00
J7302 - $701.00
J7307 - $625.00
J1051/J1055 - $23.35
Billing Combinations
58300,J7300
58300,J7302
11981,J7306
11981,J7307
11975,J7302
Any advice?