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2012 Texas Medicaid Provider Procedures Manual

Gynecological and Reproductive Health and Family Planning Services Handbook : 4. Department of State Health Services (DSHS) Family Planning Program Services : 4.2 Services, Benefits, Limitations, and Prior Authorization : 4.2.5 Contraceptive Devices and Related Procedures : 4.2.5.2 IUD

4.2.5.2
Procedure codes J7300, J7302, 58300, and 58301 may be reimbursed as follows:
4.2.5.2.1 Insertion of an IUD
The IUD and the insertion of the IUD may be reimbursed using procedure code J7300 or J7302 with procedure code 58300.
The following reimbursement may apply:
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 following reimbursement will apply:
4.2.5.2.2 Removal of the IUD
Procedure code 58301 may be reimbursed when an IUD is extracted from the uterine cavity.
When a vaginal, cervical, or uterine surgery procedure code is submitted with the same date of service as the IUD removal procedure code or the IUD replacement procedure code, the following reimbursement may apply:

Texas Medicaid & Healthcare Partnership
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