58300-58301
58300 Insertion of intrauterine device (IUD)
58301 Removal of intrauterine device (IUD)
ICD-9-CM Procedural
69.7
Insertion of intrauterine contraceptive
device
97.71 Removal of intrauterine contraceptive
device
Anesthesia
00940
ICD-9-CM Diagnostic
Explanation
The physician inserts a speculum into the
vagina to visualize the cervix. A tool is used to
gently pull down the cervix; it is dilated. In
58300, an intrauterine device (IUD), any of a
variety of shapes (coil, loop, T, 7), is guided
into the uterus through an insertion tube
placed in the cervical os. In 58301, to remove
a previously placed IUD from the uterus, a
device is inserted through the cervical os and
used to grasp and remove the IUD.
Corpus Uteri
Coding Tips
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 (J7300-J7302). 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) are not
separately reimbursed by Medicare; however,
other third-party payers may cover them.
Check with the specific payer to determine
coverage.
© 2013 OptumInsight, Inc.
194 — Corpus Uteri
996.32 Mechanical complication due to
intrauterine contraceptive device
996.65 Infection and inflammatory reaction
due to other genitourinary device,
implant, and graft — (Use additional
code to identify specified infections)
996.76 Other complications due to
genitourinary device, implant, and
graft — (Use additional code to
identify complication: 338.18-338.19,
338.28-338.29)
V25.11 Encounter for insertion of intrauterine
contraceptive device
V25.12 Encounter for removal of intrauterine
contraceptive device
V25.13 Encounter for removal and reinsertion
of intrauterine contraceptive device
V25.42 Surveillance of previously prescribed
intrauterine contraceptive device
94002, 94200, 94250, 94680-94690, 94770,
95812-95816, 95819, 95822, 95829, 95955,
96360, 96365, 96372, 96374-96376,
99148-99149, 99150, 99211-99223,
99231-99255, 99291-99292, 99304-99310,
99315-99316, 99334-99337, 99347-99350,
99374-99375, 99377-99378, J0670, J2001
Note: These CCI edits are used for Medicare.
Other payers may reimburse on codes listed
above.
Medicare Edits
58300
58301
Fac Non-Fac
RVU
RVU
FUD
1.47
1.98
N/A
1.98
2.74
0
Status
N
A
MUE
Modifiers
N/A N/A N/A N/A
58300
1
51 N/A N/A 80*
58301
* with documentation
Medicare References: None
Terms To Know
dilation. Artificial increase in the diameter of
an opening or lumen made by medication or
by instrumentation.
insertion. Placement or implantation into a
body part.
IUD. Intrauterine device.
medical necessity. Medically appropriate
and necessary to meet basic health needs;
consistent with the diagnosis or condition and
national medical practice guidelines regarding
type, frequency, and duration of treatment;
rendered in a cost-effective manner.
removal. Process of moving out of or away
from, or the fact of being removed.
speculum. Tool used to enlarge the opening
of any canal or cavity.
CCI Version 19.3
Also not with 58301: 0213T, 0216T, 0228T,
0230T, 12001-12007, 12011-12057,
13100-13153, 36000, 36400-36410,
36420-36430, 36440, 36600, 36640, 37202,
43752, 51701-51703, 57410, 57500,
62310-62319, 64400-64435, 64445-64450,
64479, 64483, 64490, 64493, 64505-64530,
69990, 93000-93010, 93040-93042, 93318,
CPT © 2013 American Medical Association. All Rights Reserved.
Coding Companion for Ob/Gyn