• My Account
    • Login
  • Contact Us

CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

  • Join Today
  • What is CodingIntel
    • About
    • Become a Member
    • FAQ
  • Free Resources
    • Overview
    • Blog
    • Everyday Coding Q&A
    • Newsletter
    • Can I get paid
  • Coding Library
    • Coding Guides
    • Quick Reference Sheets
    • E/M Changes
    • How Physician Services Are Paid
    • In Person E/M
    • Prevention & Screening
    • Care Management & Remote Monitoring
    • Surgery, Modifiers & Global
    • Diagnosis Coding
    • New & Newsworthy
    • Speciality
    • Practice Management
  • Webinars

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.

 

More Everyday Coding Q&As


Watch Betsy’s 60 minute on-demand webinar “In-office GYN Procedures” for a discussion of billing for pap smear as well as other common in-office GYN procedures. Webinars are free for members. Not a member? Find out how you can watch too!


Get more tips and coding insights from coding expert Betsy Nicoletti.

Subscribe and receive our FREE monthly newsletter and Everyday Coding Q&A.

Sign up

We will never share your email address. Unsubscribe anytime.

CPT is a registered trademark of the American Medical Association Copyright 2022, American Medical Association All rights reserved.

Last revised April 20, 2022 - Betsy Nicoletti
Tags: primary care_procedures

Wondering about the rules for HCC coding?

Wondering what the rules are for HCC coding, and where you can find them? This video answers your questions. The topic is important to medical practices because risk-adjusted diagnosis coding is part of Medicare Advantage contracts, many commercial contracts and Accountable Care Organizations (ACOs). Sign up for our monthly newsletter to download the whitepaper and watch the video.

Sign Up Now

Recommended Resource

You’ve coded it, but you still have to fight to get paid! We’ve partnered with Elizabeth Woodcock to give you the tools and strategies you need.

Find them here!

Latest Intel

Diagnosis Coding for Antepartum Care

Question: Patient seen for antepartum care but … Read More...

2023 CPT E/M Changes

Ready to learn about the 2023 CPT® E/M changes? … Read More...

Outpatient Diabetes Self-Management Training (DSMT) Services

Diabetes self-management training (DSMT) services … Read More...

2023 CMS Proposed Physician Rule | Webinar

CMS’s 2023 Proposed Physician Rule August 25, … Read More...

Browse By Categories

Browse Content

  • Articles
  • Coding Guides
  • Everyday Coding Q&A
  • Videos
  • Can I Get Paid to
  • Blog
  • Webinars

Tags

behavioral health_cpt codes behavioral health_E/M services care management category of service CMS updates Code sets and reimbursement compliance issues CPT codes for preventive services CPT updates critical care services dermatology_E/M services dermatology_essential resource dermatology_procedures E/M frequency data E/M medical decision making E/M overview E/M reference sheets E/M rule changes FQHC general surgery_diagnosis coding general surgery_E/M services general surgery_modifiers general surgery_procedures global surgery issues HCC diagnosis coding ICD-10 coding level of service_MDM level of service_time medicare incident-to and shared services minor procedures modifiers other E/M services Preventive and problem visits preventive services for medicare primary care_diagnosis coding primary care_E/M services primary care_essential resource primary care_modifiers primary care_other E/M services primary care_preventive services primary care_procedures remote physiologic monitoring screening and counseling for behavioral conditions teaching physician rules telehealth
  • What is CodingIntel
  • FAQs
  • Terms of Use
  • Privacy Policy
  • Contact

Our mission is to provide accurate, comprehensive, up-to-date coding information, allowing medical practices to increase revenue, decrease coding denials and reduce compliance risk. That's what coding knowledge can do.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.

Copyright © 2022, CodingIntel
Privacy Policy