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2025 HCPCS code S4989

Supplies and implantation of an intrauterine device (IUD) for contraception.

Adhere to all relevant coding guidelines provided by the payer, including correct use of modifiers if any apply. This code is for non-Medicare payers; confirm payer-specific requirements.

Modifiers may apply depending on the circumstances of the procedure.Consult payer guidelines.

Medical necessity for IUD insertion is typically established based on patient preference for long-term reversible contraception, prevention of unintended pregnancies, or management of specific gynecological conditions (e.g., heavy menstrual bleeding, endometriosis).

The clinical responsibility lies with the physician or qualified healthcare professional performing the IUD insertion.This includes patient counseling, examination, procedure execution, and post-procedure care.

IMPORTANT:No alternate codes explicitly listed, but other HCPCS codes may exist for different types of IUDs or related procedures.

In simple words: This code covers the placement of an IUD, a small device placed in the uterus to prevent pregnancy.The cost includes the IUD itself and any supplies needed during the procedure.

This HCPCS code, S4989, encompasses the supplies and procedure related to the insertion of an intrauterine device (IUD).An IUD is a small, T-shaped or coil-shaped device inserted into the uterus to prevent pregnancy by altering the uterine lining and inhibiting fertilized egg implantation. This code covers all supplies associated with the IUD implantation procedure.

Example 1: A 28-year-old female patient requests an IUD for long-term contraception. The physician performs a pelvic exam, inserts a copper IUD, and provides post-procedure counseling., A 35-year-old female patient, following a miscarriage, opts for an IUD. The physician assesses her condition, inserts a hormonal IUD, and schedules a follow-up appointment., A 25-year-old female patient with a history of endometriosis undergoes IUD placement for both contraception and potential endometriosis symptom management.The physician discusses the benefits and risks of different IUD types.

* Patient consent form.* Complete medical history and physical examination notes, including relevant gynecological history.* Documentation of the type of IUD used (e.g., copper, hormonal, brand name).* Detailed procedural notes, including technique used and any complications.* Post-procedure instructions provided to the patient.

** This code is not reimbursable under Medicare.Always check payer specific guidelines for coverage and reimbursement.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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