2025 CPT code 58300
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Female Genital System Feed
Insertion of intrauterine device (IUD).
Modifiers are applicable to this code.Common modifiers include 22 (increased procedural services), 25 (significant, separately identifiable E/M service by the same physician on the same day of the procedure), 51 (multiple procedures), and 53 (discontinued procedure).
Medical necessity for IUD insertion typically hinges on the patient's need for contraception or the therapeutic management of conditions such as heavy menstrual bleeding or endometrial hyperplasia.Detailed documentation supporting the medical necessity is crucial, especially for non-contraceptive uses.
The physician is responsible for performing the IUD insertion procedure, including patient counseling, obtaining informed consent, managing any complications, and providing follow-up care.
In simple words: The doctor inserts a small, T-shaped birth control device called an IUD into the uterus. This is done through the vagina and is a long-term birth control method.
This code represents the insertion of an intrauterine device (IUD) into the uterine cavity.The procedure involves a vaginal examination, cleansing of the cervix, insertion of a speculum, and placement of the IUD using an insertion tube.The IUD string is then trimmed, and any bleeding is addressed.
Example 1: A 25-year-old female patient presents for insertion of a hormonal IUD for contraception., A 40-year-old female patient with heavy menstrual bleeding opts for an IUD for management of her symptoms, and not for contraception., A patient undergoes IUD removal (58301) and reinsertion (58300) during the same visit.Modifier 51 would be appended to 58300 to indicate multiple procedures.
Documentation should include patient consent, type of IUD inserted, uterine size and depth, any complications, and patient education provided. If billing for a non-contraceptive use, documentation justifying the medical necessity for IUD use in treating the condition should be provided
** HCPCS codes are used to identify the specific IUD supplied (e.g., J7296 Kyleena, J7297 Liletta, J7298 Mirena).For Medicare patients, an IUD insertion for contraceptive purposes is not covered. However, if the IUD is used to treat a medical condition like endometrial hyperplasia, and the patient meets specific criteria and it's documented appropriately, it may be covered.
- Revenue Code: P6C - MINOR PROCEDURES - OTHER (MEDICARE FEE SCHEDULE)
- Payment Status: Not Covered by Medicare for contraceptive purposes, but may be covered with proper diagnosis and documentation when used for non-contraceptive treatment like endometrial hyperplasia
- Specialties:Obstetrics and Gynecology, Family Medicine
- Place of Service:Office, Clinic, Inpatient Hospital, Outpatient Hospital