Managing the billing process

Billing Codes for Paragard

Documenting Paragard placement and subsequent care with appropriate coding is a key part of the billing process. The CPT/J-codes below may be used when filing claims. Be sure to check with your patient’s individual insurance carrier, as payers vary in their claim reporting requirements.

CPT codes1
58300 Intrauterine contraceptive device insert

CPT procedure codes do not include the cost of Paragard. Use the Healthcare Common Procedure Coding System
(HCPCS)/J-code, J7300, to report use of a unit.1

To complete the claim, you may also need to report:

  • Drug name: PARAGARD T380A (intrauterine copper contraceptive)
  • Quantity: 1
  • National Drug Code (NDC):
    Labeler NDC
    TEVA Women’s Health 51285-204-01
    CooperSurgical 59365-5128-1 (10-digit)
    CooperSurgical 59365-5128-01 (11-digit)
  • Route of administration: Intrauterine
  • How supplied: Carton of 1 sterile unit

Important Safety Information

  • Paragard must not be used by women who had a post-pregnancy or post-abortion uterine infection in the past 3 months; have cancer of the uterus or cervix; acute pelvic inflammatory disease (PID); an infection of the cervix; an allergy to any component (including copper); or Wilson’s disease. Continue reading

Indication

Paragard is a copper-containing IUS (intrauterine system) indicated for the prevention of pregnancy for up to 10 years.

Important Safety Information

  • Paragard must not be used by women who had a post-pregnancy or post-abortion uterine infection in the past 3 months; have cancer of the uterus or cervix; acute pelvic inflammatory disease (PID); an infection of the cervix; an allergy to any component (including copper); or Wilson's disease.
  • If a woman misses her period, she must be promptly evaluated for ectopic pregnancy.
  • Possible serious complications that have been associated with IUSs are PID, embedment, perforation of the uterus, and expulsion.
  • Paragard must not be used by pregnant women as this can be life threatening and may result in loss of pregnancy or infertility.
  • Menstrual cycles may become heavier and longer with intermenstrual spotting. Bleeding may be heavier than usual at first.
  • Paragard does not protect against HIV or STIs.

Please see accompanying Full Prescribing Information.

Reference:
1. Sutton K. The essential guide to LARC coding webinar handout. Webinar presented: https://live.blueskybroadcast.com/bsb/client/CL_DEFAULT.asp?Client=490885&P CAT=2791&CAT=10361. Published March 24, 2016. Accessed August 9, 2017.