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?
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 encounter, 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. Of course, if the IUD was inserted on the day of the annual exam, both of those could be billed.
Reviewed, Betsy Nicoletti 10/12/2018become a member. Already a member? Login