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Insertion of Implanon (J7307)

  1. Default Insertion of Implanon (J7307)
    Medical Coding Books
    Would it be appropriate to use CPT 11975 Insertion, implantable contraceptive capsules for the insertion of Implanon. I am reading the description for 11975 and it states a small skin incision is made but the physician's package insert no skin incision is made it is injected through a trocar which has a needle which is inserted into the subdermal area. I am wondering if this code is appropriate since no skin incision is made. Any opinions/suggestions are appreciated.

    Thanks,
    Wendy Wright, CPC

  2. Default
    We were told at our office to use 11981 insertion/11982 removal/11983 removal-insertion

  3. #3
    Location
    Kansas City, MO
    Posts
    751
    Default
    Per CPT Changes 2002 the 11975 is correct, as it directly states that it is for "contraceptive". I believe this issue was also addressed in one of the OBGyn coding newsletters (Coding Alert or Pink Sheets) if you receive any of them.

    Angela Jordan, CPC
    Manager Coding & Compliance
    Women's Healthcare Network, LLC

  4. Default
    Thanks I do receive those newsletters and will research these further. I do not believe 11981 is the appropriate code because it does not fit the description of the device that is being inserted.

    Thanks again!

    Wendy

  5. Default implanon
    We here also use the 11975. Going back to the informational sheets we recieved this is what we use.

  6. Default
    Another question on the Implanon..........is there anything "additional" you all are billing with that insertion like "supplies"? Kit...etc. etc.. or is it just the insertion of it?

    We will begin doing this and I've never done it before. I want to make certain I do this correctly. THanks!

  7. #7
    Location
    Kansas City, MO
    Posts
    751
    Default
    No, all you need it the insertion code and the J code.
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013
    angela@medicalrevenuesolutions.com

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