|
20.7.5 Contraceptive Devices and Related Procedures
The following applies to Titles V, XIX, and XX:
• Procedure codes 1-J7300 or 1-J7302 must be billed with 2-58300 on the same date of service to receive reimbursement for IUD and the insertion of the IUD.
•An IUD insertion/procurement of the IUD may be reimbursed when billed on the same date of service as a dilation and curettage. Procedure code 2-58120 is reimbursed at full allowance. Procedure code 2-58300 may be considered for reimbursement separately from procedure code 1-J7302. Procedure codes 1-J7300 and 1-J7302 are reimbursed at full allowance.
•When a vaginal, cervical, or uterine surgery (e.g., cervical cauterization) is billed for the same date of service as the insertion of the IUD, the surgical procedure is paid at full allowance and the IUD insertion billed using procedure code 2-58300 is paid at half the allowed amount.
For Title XIX only, procedure code 2-58301 may be considered for reimbursement when an IUD is extracted from the uterine cavity. Procedure code 2-58301 is not considered for reimbursement when submitted with the same date of service as an office visit.
|
