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Thread: Mirena IUD

  1. #1

    Question Mirena IUD

    AAPC: Back to School
    does medicare pay for these? If not is an abn required for this type of procedure

  2. #2
    Join Date
    Apr 2007
    Marion, OH


    It has been my experience that Medicare does not pay for any form of birth control. You could collect the money upfront and not bill Medicare since Mirena's are so expensive.

  3. #3


    We have a couple of patients that we billed Medicare with a signed ABN, they denied it and luckily for the patient, they had a 2nd insurance that covered the cost.

  4. #4
    Join Date
    Apr 2007
    Portland Rose City Oregon Chapter


    Unfortunately, Medicare does not cover IUD's. If a patient with Medicare wants to have an IUD inserted, you must have them sign an ABN form, even if they have a secondary that will cover it, in order to bill Medicare and the patient. With out notifying the patient, that it is a non covered service, you can not bill the patient. If the patient only has Medicare, you will have them sign an ABN and it is appropriate for you to request payment in full at the time of service.

    You CAN NOT choose to have them NOT sign an ABN and then NOT bill Medicare if you are contracted and accept assignment with them. This is an incorrect billing practice. The patient can choose for you not to bill Medicare, but they have to check mark that box on the ABN form. You must still have them complete the ABN form.

    Hope this helps. If you have any additional questions, please feel free to email me.
    Amber Ruiz, CPC
    Women's Health Today

  5. #5
    Join Date
    Apr 2007
    Marion, OH


    An IUD is considered statutorily excluded and does not require the ABN. As such you do not have to bill Medicare unless you want a denial to bill to a secondary insurance.

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