cpt 58300, cpt code 58300, 58300 cpt code

CPT Code 58300 | Insertion Of Intrauterine Device (IUD)

CPT code 58300 describes the insertion of an intrauterine device (IUD), a medical procedure in which a provider inserts a device into the uterus through the cervix to provide contraception.

What Is CPT Code 58300?

CPT 58300 describes a medical procedure called the insertion of an intrauterine device (IUD). During the procedure, the provider performs a vaginal exam to check the position of the uterus and then inserts a speculum into the vagina.

The cervix is cleaned with an antiseptic solution, and a numbing gel is applied to the cervical canal. Next, the provider may use a uterine sound to check the depth of the uterine cavity and, if necessary, inserts the IUD using an inserting tube.

The IUD string is trimmed to 3 cm, bleeding areas are checked, any bleeding is stopped, and the speculum is removed. The provider then documents the depth of the uterine cavity and the length of the IUD string in the patient’s medical record.

Description

The CPT book describes CPT code 58300 as: “Insertion of an intrauterine device (IUD).”

Procedure

The provider places the patient in the lithotomy position and performs a vaginal exam to check for the position of the uterus. The provider then inserts a speculum and cleans the cervix with an antiseptic solution.

He then grasps the lip of the cervix with a tenaculum and places a numbing gel into the cervical canal. Next, the physician inserts a uterine sound into the uterus to check for the depth of the cavity.

If the uterus is greater than 6 cm, he inserts the IUD. The provider prepares the IUD for insertion, and with an inserting tube, he places it into the uterus so that the device can expand into the cavity.

Once he inserts the IUD, the tube is withdrawn, and he trims the IUD string to 3 cm. He checks bleeding areas and stops any bleeding that he finds. He removes the speculum.

The provider then documents in the patient record the depth of the uterine cavity and the length of the IUD string.

Example

A 10-week-pregnant woman visits her OBGYN because she has vaginal bleeding. According to a doctor, pregnant women who have a miscarriage should receive immediate medical attention.

The miscarriage medically concludes, and the IUD was inserted during this session. Implantation of an IUD is also on the patient’s schedule.

This case is billed with CPT code 58399 and modifier 51.

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