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December 2016 Texas Medicaid Provider Procedures Manual

Women’s Health Services Handbook : 3 Health and Human Services Commission (HHSC) Family Planning Program Services : 3.2 Services, Benefits, Limitations, and Prior Authorization : 3.2.6 Contraceptive Devices and Related Procedures : 3.2.6.2 IUD

3.2.6.2
IUD services may be reimbursed using the following:
 
3.2.6.2.1
The IUD and the insertion of the IUD may be reimbursed using procedure codes J7297, J7298, J7300, J7301, and 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:
3.2.6.2.2
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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