Get Up to Speed With New Reporting Rules

for IUS Contraceptives

By Susan Dooley

When LARC Doesnt Refer to Birds

Coders working in gynecology practices know that LARC is an acronym for long-acting reversible
contraception, a group of contraceptive systems including intrauterine contraception systems (IUS) and
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subdermal rod implants like Nexplanon. LARC, then, is an umbrella term for methods that prevent
pregnancy for extended time periods without requiring the user to take regular action, such as
swallowing a pill or using a condom.

Welcome to a New Age for Contraception

Intrauterine device (IUD) contraceptives have been around for a long time, but the intrauterine devices
in the LARC category are different they are easier to use, safer, longer lasting, quickly reversible
and 20 times more effective than oral contraceptives, according to researcher Donna Shoupe, whose
article on LARC methods was published in the February issue of the journal Contraception and
Reproductive Medicine. Shoupe adds that in the US, currently 12 percent of all reproductive-age women
use LARC methods for their contraception, a significant increase from 2 percent in 2002.
Note that 2016 brings changes to HCPCS coding for levonorgestrel-releasing intrauterine contraceptive
systems, with two codes brand new for this year.

For Mirena, the product approved for treating heavy menstrual bleeding in IUD users, with five
years of contraceptive effectiveness, youll report J7298 (Levonorgestrel-releasing intrauterine
contraceptive system, 52 mg, 5 year duration).
For Liletta, an intrauterine contraceptive system approved for three years of contraceptive
effectiveness, youll report J7297 (Levonorgestrel-releasing intrauterine contraceptive system,
52 mg, 3 year duration).

The HCPCS J codes for two other popular IUS products have not changed. Supplies of Skyla, the IUD that
releases levonorgestrel in a lower dose, and Paragard, the copper IUD, are still reported with the
following HCPCS codes:

For Skyla: J7301, Levonorgestrel-releasing intrauterine contraceptive system, 13.5 mg

For ParaGard: J7300, Intrauterine copper contraceptive.

Heads Up Cross J7302 Off Your List!

The old J code for the 52 mg versions of levonorgestrel IUS products is no longer valid. As of January 1,
the Center for Medicare and Medicaid Services (CMS) deleted HCPCS code J7302 (levonorgestrelreleasing intrauterine contraceptive system, 52 mg) and replaced it with the two codes J7297 and J7298
that we talked about above.

Dont Forget the CPT and Diagnosis Codes

Of course the HCPCS codes shown above are only used to report the supply of the IUS itself. Youll also
need to report the devices insertion and/or removal with an appropriate CPT code, such as the
following:

58300, Insertion of intrauterine device (IUD)

58301, Removal of intrauterine device (IUD).
The Coding Institute LLC, 2222 Sedwick Road, Durham, NC 27713, Eenterprise Contact: Sam Nair, Direct: 704 303 8150,
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Choice of diagnosis codes will vary with the patients situation and of course the providers
documentation. However, a few ICD-10-CM codes to consider include the following.
Z30.430, Encounter for insertion of intrauterine contraceptive device
Z30.432, Encounter for removal of intrauterine contraceptive device
Z30.433, Encounter for removal and reinsertion of intrauterine contraceptive device
Z30.431, Encounter for routine checking of intrauterine contraceptive device.

What About You?

If your practice serves reproductive-age women, tell us your experience with LARC products. Are more
of your patients opting for these? Has increased popularity of IUS systems raised any issues for your
practice, such as the cost of stocking the devices? Let us know. We love to hear from you!

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Email: shyamn@codinginstitute.com
Direct: 704 303 8150

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The Coding Institute LLC, 2222 Sedwick Road, Durham, NC 27713

The Coding Institute LLC, 2222 Sedwick Road, Durham, NC 27713, Eenterprise Contact: Sam Nair, Direct: 704 303 8150,
shyamn@codinginstitute.com