2025 HCPCS code J7306
Effective Date: N/A Drugs Administered Other than Oral Method - Contraceptive Systems Feed
Levonorgestrel (contraceptive) implant system, including implants and supplies.
Medical necessity for this code is established when a female patient requests long-acting reversible contraception, and the levonorgestrel implant is deemed a clinically appropriate method by the healthcare provider.
The provider is responsible for inserting the levonorgestrel implant system into the patient's upper arm. This code represents the implant system itself and not the administration procedure.
In simple words: A levonorgestrel-releasing implant is a long-term birth control method. It's a small, flexible rod placed under the skin of your upper arm that releases the hormone levonorgestrel to prevent pregnancy.
The levonorgestrel-releasing contraceptive implant system releases the hormone levonorgestrel, a progestin hormone that changes the uterine lining and prevents sperm from reaching the uterus or prevents a fertilized egg from attaching to the uterus to prevent pregnancy. The typical implant system consists of small plastic rods that a provider inserts under the skin of a patient’s upper arm, which then gradually release the hormone into the patient’s body over time.
Example 1: A 25-year-old woman requests a long-acting reversible contraceptive method. After discussing her options, she chooses the levonorgestrel implant. The provider inserts the implant subdermally in her upper arm., A 32-year-old woman with a history of difficult-to-control epilepsy needs reliable contraception that won't interact with her anti-epileptic medications. The levonorgestrel implant is a suitable option, and the provider performs the insertion., A teenager seeks contraception. After counseling about various methods, including short-term and long-term options, the patient selects and receives the levonorgestrel implant.
Documentation should include informed consent from the patient, the date of insertion, the location of insertion (upper arm), the lot number of the implant, and any complications during or after the procedure.
- Specialties:Obstetrics and Gynecology, Family Medicine
- Place of Service:Office, Inpatient Hospital, On Campus-Outpatient Hospital, Federally Qualified Health Center, Rural Health Clinic