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Thread: IUD removal and insertion on the same dos

  1. #11

    Default ACOG Article

    AAPC: Back to School
    Quote Originally Posted by imjsanderson View Post
    Recently ACOG put out an article which recommends billing for both the insertion and removal done at the same visit: whether insurance will pay is another story but we follow ACOG guide lines and I feel we SHOULD bill this way if we are to have anything changed down the road.

    Thank you very much for posting that ACOG article; immensely helpful!

    Susan Reehill, CPC, CEMC
    Last edited by Susan R; 07-29-2009 at 05:38 PM. Reason: adding name

  2. #12
    Join Date
    Apr 2007
    Greeley, Colorado

    Default Both

    We code both and get paid for both. We code with modifier -51 on removal.
    Lisa Bledsoe, CPC, CPMA

  3. #13
    Join Date
    Apr 2007

    Default IUD Removal/Insertion Coding

    My office bills for the removal, insertion, and device w/o a modifier. If you are billing Regence, a modifier -59 is needed on the removal. Use a -25 on the e/m code if you are billing with the removal/insertion/device.

  4. #14

    Default removal and insert IUD same day

    Article no longer available but did find per ACOG article how to properly code for IUDs.

    Can ob/gyn coders very billing both 58300 and 58301 or just 58300

    replacing IUD and coding for ASC side.



  5. #15
    Join Date
    Apr 2007
    Maple Grove Chapter


    I use 58300 with 58301-51 for insertion and removal in the same visit.
    Hope this helps!

    Holly J. Bruce, CPC
    Freelance Coding Consultant

  6. #16
    Join Date
    Apr 2007
    Nashville AAPC Chapter


    This from Encoder Pro:

    These procedures may be performed by a registered nurse, physician assistant, nurse practitioner, or other trained paramedical person under a physician's supervision. For IUD removal and insertion of a new device during the same visit, report both the IUD removal (58301) and insertion (58300) codes separately. The cost of the IUD is not included in these codes and should be reported separately using the appropriate HCPCS Level II code. These procedures are usually not done out of medical necessity; therefore, the patient may be responsible for charges. Verify with the insurance carrier for coverage. Local anesthesia is included in these services. Surgical trays, A4550 may be separately reimbursed by third-party payers. Check with the specific payer to determine coverage.

  7. #17


    Thanks for your help!

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