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Contraceptive Pearl: Coding for LARC Insertion & Removal

As of September 2014 ICD-10 codes have been utilized for diagnosis coding for all procedures, both in- and out-patient. And, as of January 1, 2016 the HCPCS codes for several LARC devices changed. The following codes can be used when inserting and removing IUDs and contraceptive implants in an outpatient setting.

ICD-10 Diagnosis Codes

IUD
Z30.014 Encounter for initial prescription of intrauterine contraceptive device (excludes insertion)
Z30.430 Encounter for insertion of intrauterine contraceptive device
Z30.432 Encounter for removal of intrauterine contraceptive device
Z30.431 Encounter for routine checking of intrauterine contraceptive device (surveillance)
Z30.433 Encounter for removal and reinsertion of intrauterine contraceptive device

Issues with IUDs
T83.31 Breakdown (mechanical) of intrauterine contraceptive device
T83.32 Displacement of intrauterine contraceptive device
T83.39 Other mechanical complication of intrauterine contraceptive device

Implants (Note: Codes are not Implant specific)
Z30.018 Encounter for initial prescription of other contraceptives
Z30.49 Encounter for surveillance of other contraceptives

Out-Patient Procedure Codes

58300 Insertion, intrauterine device
58301 Removal, intrauterine device
11981 Insertion, contraceptive implant
11982 Removal, contraceptive implant
11983 Removal with reinsertion, contraceptive implant

Medication Administration Codes (CPT)

J7300 Intrauterine copper contraceptive (Paragard® T-380A)
J7297 Levonorgestrel-releasing intrauterine contraceptive system, 52mg, 3 year duration (Liletta®)
J7298 Levonorgestrel-releasing intrauterine contraceptive system, 52 mg, 5 year duration (Mirena®)
J7301 levonorgestrel-releasing intrauterine contraceptive system, 13.5 (Skyla®)
J7307 Ethonogestrel Implant, 68 mg, 3 year duration (Nexplanon®)

Other Common Out-Patient Codes

11702 Lidocaine
81025 Pregnancy test

 

Resources

Coding for IUD Insertion and Removal
Coding for Implant Insertion and Removal
Skyla Billing

 

Sources

New HCPCS Codes Established for Coding the Levonorgestrel-Releasing Intrauterine Contraceptive System, 52 mg Intrauterine Device (IUD). The American Congress of Obstetricians and Gynecologists.

2016 ICD-10-CM Codes

 

Pharma-free
The Reproductive Health Access Project does not accept funding from pharmaceutical companies. We do not promote specific brands of medication or contraception. The information in the Contraceptive Pearls is unbiased, based on science alone.