2025 HCPCS code J7297
(Active) Effective Date: N/A Revision Date: N/A Drugs - Contraceptive Systems Drugs Administered Other than Oral Method Feed
Supply of Liletta® levonorgestrel-releasing intrauterine contraceptive system (52 mg).
Modifiers may apply depending on the circumstances.Consult payer-specific guidelines for details.
Medical necessity is established by the patient's expressed need for contraception and the physician's determination that the Liletta® IUD is an appropriate method.
The clinical responsibility is limited to supplying the Liletta® IUD.Insertion is a separate procedure requiring a different code.
In simple words: This code is for the Liletta IUD, a small device that's placed in the uterus to prevent pregnancy.This code only covers the cost of the IUD itself, not the procedure to put it in.
This HCPCS code represents the supply of one unit of the Liletta® levonorgestrel-releasing intrauterine contraceptive system, containing 52 mg of levonorgestrel.This code covers only the supply of the device and does not include the insertion procedure. Levonorgestrel's release within the uterus alters the cervix and uterine lining, hindering conception. The device is a plastic intrauterine system releasing levonorgestrel, a synthetic progestin preventing pregnancy.
Example 1: A 28-year-old woman requests a Liletta® IUD for contraception. The physician orders the device, and this code is billed for the supply., A family planning clinic provides a Liletta® IUD to a patient as part of a comprehensive contraceptive counseling and planning visit. The supply of the IUD is billed using this code., A woman undergoes a routine checkup and decides to change her birth control method.She opts for a Liletta® IUD and the physician bills for its supply using J7297.
* Patient's medical record documenting the need for contraception.* Physician's order for the Liletta® IUD.* Documentation of the supply of the device.
** Always refer to the most current HCPCS codebook and payer-specific guidelines for accurate billing practices.
- Revenue Code: 0636 (Drugs Requiring Specific Identification & Detailed Coding)
- Payment Status: Active
- Modifier TC rule: Not applicable; this code represents the supply, not a procedure.
- Specialties:Obstetrics and Gynecology, Family Medicine
- Place of Service:Office, Outpatient Clinic, Family Planning Clinic