Can We Bill for IUD Removal and Insertion on the Same Day?

Question:

Can I bill 58301 for IUD removal and bill 58300 for IUD insertion on the same day, if the provider removes and then inserts another IUD? And, can we bill an E/M with it?

Answer:

Yes, there is no CCI edit for those two codes. In years past, I heard that some payers denied both on the same day but I don’t hear that anymore.

As for the E/M, it depends. If this is a planned procedure, do not bill an E/M.

For example, at the patient’s annual exam, she and the physician decided that the IUD would be replaced. The practice scheduled the patient to have that done and pre-authorized the new IUD. Do not bill an E/M for the visit when the patient returns to the office to have the IUD inserted.

If, on the other hand, the patient presented for a discussion about contraception, and at that visit, it was decided than an IUD was the right choice for her, and no pre-authorization was required, both can be billed. Append modifier -25 to the E/M.

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