CPT code for IUD removal

CPT Code For IUD Removal (2022) – Description, Guidelines, Reimbursement, Modifiers & Examples

CPT code for IUD removal (58301) bills for service when the physician performs the removal of the intrauterine device (IUD). IUD incorporates into the uterus of a female to control birth, and it is also known as intrauterine contraception (IUC).

CPT Code For IUD Removal Summary

The following are reasons why Physician removes the IUD:

  • Elevated blood pressure
  • Endometrial or cervical cancer
  • Post-menopausal 
  • Infection in the pelvis region

The Physician incorporates a speculum into the vagina to examine the cervix. A tool aids in dilating and down the cervix. 

IUD presents in various forms such as T-shape, coil, loop, 7. A device may insert into the cervical to retrieve the uterine device.

CPT 58300 reports when the Physician inserts an intrauterine device into a female’s uterus. In contrast, CPT code for IUD removal bills for removal of IUD from the female uterus.

CPT 58300 and CPT code for IUD removal (58301) may perform by a registered nurse, physician assistant, nurse practitioner, or other trained paramedical people under a physician’s supervision.

CPT Code For IUD Removal Description 

CPT code for IUD removal 58301 bills for service when the Physician performs the removal of the intrauterine device (IUD).

cpt code for iud removal and reinsertion

CPT Code For IUD Removal Reimbursement

A maximum of one unit can be a bill on the same service date of CPT code for IUD removal 58301. In contrast, the Three unit allows when documentation supports the medical necessity of the service. 

The cost and RUVS of CPT 58301 with modifier 26 are $71.22 and 2.05811 when performed in the facility. In contrast, the reimbursement and RUVS of CPT code for IUD removal 58301 with modifier 26 are $126.52 and 3.65611 when performed in the non-facility.

CPT Code For IUD Removal Modifiers

The following is the list of modifiers when CPT code for IUD removal 58301 bills:

  • 22, 23, 33, 47, 51, 52, 53, 58, 59, 76, 77, 78, 79, 99, AI, AQ, AR, CC, CR, ET, EY, FX, FY, GA, GC, GK, GR, GU, GY, GZ, KX, PT, Q5, Q6, QJ, SG, TC, XR, XP, XU, XS.

Modifier 22 is appropriate when a physician spends a longer time than usual and makes extra efforts during the procedure. 

Modifier 76 is applicable with CPT code for IUD removal 58301 when a similar service performs by the Same Physician on the same service date. 

Modifier 77 is applicable with CPT 58301 when a similar service performs by a different Physician on the same service date. 

Modifier 59 is applicable with CPT code for IUD removal 58301 when a particular service performs by the Physician and bundles with another procedure on the same date.   

Modifier X {E, P, S, U} is applicable instead of Modifier 59 with CPT 58301 when service bills to medicare insurance. It divides ModifierModifier into four different parts for further specification of the procedure.

Modifier 53 will be reported with CPT 58301 if an unsuccessful IUD removal procedure is due to unavoidable circumstances like allergic reactions to the substance.

Modifier 22 applies to CPT code for IUD removal 58301 when services perform longer than usual and take extra resources during the procedure.

Modifier 23 is applicable with CPT code for IUD removal 58301 when general or local anesthesia administers by the Physician and routinely does not require during the procedure.

Modifier 52 applies when the Physician does not complete the IUD removal procedure and service terminates due to unavoidable circumstances.

If physicians believe that Medicare will deny such service, reporting with a GA modifier is appropriate. The beneficiary must sign an Advance Beneficiary Notification (ABN), and CPT code for IUD removal 58301 must apply the GA modifier to that service.

CPT Code For IUD Removal Billing Guidelines

Documentation should support the medical necessity of service. It reflects that service is medically necessary and appropriate. 

The following are ICD 10 Payable Dx codes:

  • T83.31XA, T83.32XA, T83.39XA, T83.69XA, T83.81XA, T83.82XA, T83.83XA, T83.84XA, T83.85XA, T83.86XA, T83.89XA, T83.9XXA, Z30.431, Z30.432, Z30.433.

CPT 58301 does not allow the insertion and removal of implantable contraceptive capsules (11976, 11981-11983). These CPT codes are separately reportable. Check insurance guidelines to see if the ModifierModifier is appropriate.

CPT 58300 and CPT code for IUD removal 58301 may perform by a registered nurse, physician assistant, nurse practitioner, or other trained paramedical people under a physician’s supervision.

If IUD removal and insertions perform by the Physician in the same encounter, It is appropriate to report both CPT codes 58300 (Insertion) and 58300 (removal).

Medicare does not separately reimburse surgical trays (A4550); however, other third-party payers may cover them.

CPT 11976 and 11981 report for service when a non-biodegradable drug of the implant by the Physician for contraception. CPT 11976 reports for reinsertion of a non-biodegradable drug. 

IUD cost does not cover CPT 58300 and 58301, and It is appropriate to report with HCPCS level II code J7300. In contrast, Local anesthesia includes in the service.

Reports the HCPCS Level II code for Levonorgestrel-releasing intrauterine contraceptive system (Liletta), 52 mg (J7297) or Levonorgestrel-releasing intrauterine contraceptive system (Mirena), 52 mg (J7298).

cpt code for removal of iud

CPT Code For IUD Removal Examples

The following are the examples when CPT 58301 bills:

Example 1

A 25-year-old female presents to the office with endometrial cancer. The patient has had pain in the pelvic region for three to four days. 

The patient had recently had insertion of an IUD device. The patient did take medication but gave relief for a few hours. He was able to eat normally and had a healthy lifestyle.

The patient denies any recent travel, Dizziness, abdominal pain, vomiting, extremity swelling, headache, numbness, chest pain, shortness of breath, and urinary problem.

Diagnostic studies were unremarkable. The physical exam shows swelling in the pelvic region. The Physician ordered a series of diagnostics tests, such as an Ultrasound of the pelvis and vagina. The Physician consulted with the gynecologist and suggested removing the IUD.  

The Physician scheduled an appointment for the removal of the IUD. She develops an infection at the site of the intrauterine device. The Physician successfully removes the IUD. The Physician prescribed medicines and scheduled follow-up visits.

Example 2

A 27-year-old female presents to the office with urinary problems, sexual dysfunction, and balance problems. The patient had recently had insertion of an IUD device. The patient did take medication but gave relief. He was able to eat every day and had a healthy lifestyle.

The patient denies any recent travel, Dizziness, abdominal pain, vomiting, extremity swelling, headache, numbness, chest pain, shortness of breath, and urinary problem.

Diagnostic studies were unremarkable. The physical exam shows swelling in the pelvic region. The Physician ordered a series of diagnostics tests, such as an Ultrasound of the pelvis and vagina. The Physician consulted with the gynecologist and suggested removing the IUD.  

The Physician prescribed medicines and scheduled follow-up visits. The Physician scheduled an appointment for the removal of the IUD. 

She develops an infection at the site of the intrauterine device. The Physician successfully removes the IUD.

Example 3

A 50-year-old female presents to the office in a post-menopausal state. The patient had recently had insertion of an IUD device. The patient wants to remove her IUD as no more is needed. He was able to eat normally and had a healthy lifestyle.

The patient denies any recent travel, Dizziness, abdominal pain, vomiting, extremity swelling, headache, numbness, chest pain, shortness of breath, and urinary problem.

Diagnostic studies were unremarkable. The physical exam shows no significant findings. The Physician ordered a series of diagnostics tests, such as an Ultrasound of the pelvis and vagina. The Physician consulted with the gynecologist and suggested removing the IUD.  

The Physician prescribes medicines and schedules follow-up visits. He scheduled an appointment for the removal of the IUD.

She has a chance of developing an infection at the site of the intrauterine device. The Physician successfully removes the IUD.

Example 4

A forty-three-year-old female presents to the office with no signs and symptoms of female genital organs patient had recently had insertion of an IUD device. She wants to eliminate her IUD to have a baby in the future. He was able to eat normally and had a healthy lifestyle. 

The patient denies any recent travel, Dizziness, abdominal pain, vomiting, extremity swelling, headache, numbness, chest pain, shortness of breath, and urinary problem.

Diagnostic studies were unremarkable. The physical exam shows no significant findings. The Physician ordered a series of diagnostics tests, such as an Ultrasound of the pelvis and vagina. The Physician consulted with the gynecologist and suggested removing the IUD.  

The Physician prescribes medicines and schedules follow-up visits. The Physician scheduled an appointment for the removal of the IUD. 

Example 5

A 40-year-old female presented to the office with pelvic pain and had elevated blood pressure. The patient had recently had insertion of an IUD device. The patient blood pressure was around 140/100. She did not take any drugs for blood pressure. The patient did take medication but gave relief for a few hours. 

The patient denies any recent travel, Dizziness, abdominal pain, vomiting, extremity swelling, headache, numbness, chest pain, shortness of breath, and urinary problem.

Diagnostic studies were unremarkable. The physical exam shows swelling in the pelvic region. The Physician ordered a series of diagnostics tests, such as an Ultrasound of the pelvis and vagina. The Physician consulted with the gynecologist and suggested removing the IUD.  

The Physician prescribes medicines and schedules follow-up visits. The Physician scheduled an appointment for the removal of the IUD.

She develops an infection at the site of the intrauterine device. The Physician successfully removes the IUD.

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