2025 CPT code 58301
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Female Genital System Surgery Feed
Removal of an intrauterine device (IUD).
Modifiers may apply depending on the circumstances of the procedure (e.g., 51 for multiple procedures, 22 for increased procedural services, 52 for reduced services). Refer to the CPT manual for guidance on modifier usage.
Medical necessity is established when the patient requests removal or presents with complications associated with the IUD (e.g., excessive bleeding, pain, migration).The IUD may also need to be removed if it has reached the end of its effective lifespan.
The physician or qualified healthcare professional is responsible for performing a thorough examination, locating the IUD strings, and safely removing the IUD.Post-procedure monitoring for bleeding and complications is also the responsibility of the physician.
In simple words: The doctor removes a birth control device (IUD) from the uterus.The patient lies on their back with legs spread apart. The doctor uses tools to locate and gently pull out the IUD.Any bleeding is stopped.
This procedure involves the removal of an intrauterine device (IUD) from the uterine cavity.The patient is placed in the lithotomy position. A vaginal examination is performed to assess the IUD's position. A speculum is inserted into the vagina to visualize the cervix and IUD strings. Ring forceps are used to grasp the strings, and gentle traction is applied to remove the IUD.Any bleeding is controlled, and the speculum is removed. In cases where the strings are not readily visible or the IUD does not easily remove, additional instruments or techniques may be necessary, potentially including a hysteroscopy with dilation of the cervix.
Example 1: A 30-year-old female patient desires IUD removal due to pregnancy plans., A 35-year-old female patient requests IUD removal due to experiencing heavy bleeding., A 28-year-old female patient presents with an IUD that has migrated from the uterus and requires removal.
Patient demographics, procedure date, type of IUD removed, method of removal (e.g., simple traction, hysteroscopy), any complications encountered, and post-procedure instructions.
** Removal of IUD may be more challenging if the strings are difficult to locate or the device is adhered to the uterine wall.Additional procedures may be necessary in these situations.
- Revenue Code: P6C (MINOR PROCEDURES - OTHER)
- RVU: Information not available in provided source.Refer to CMS guidelines and local fee schedules for current RVU values.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not applicable to this code as it is a complete procedure.
- Fee Schedule: Information not available in provided source. Refer to historical CPT fee schedules for relevant data.
- Specialties:Obstetrics and Gynecology
- Place of Service:Office, Clinic