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 have acute pelvic inflammatory disease (PID); have had a postpregnancy or postabortion uterine infection in the past 3 months; have cancer of the uterus or cervix; have an infection of the cervix; have an allergy to any component; or have Wilson’s disease. Continue reading

Paragard is indicated for intrauterine contraception for up to 10 years.

Important Safety Information

  • Paragard must not be used by women who have acute pelvic inflammatory disease (PID); have had a postpregnancy or postabortion uterine infection in the past 3 months; have cancer of the uterus or cervix; have an infection of the cervix; have an allergy to any component; or have Wilson’s disease.
  • If a woman misses her period, she must be promptly evaluated for pregnancy.
  • Possible serious complications that have been associated with intrauterine contraceptives are PID, embedment, perforation of the uterus, and expulsion.
  • Paragard must not be used by women who are pregnant as this can be life threatening and may result in loss of pregnancy or infertility.
  • The most common side effects of Paragard are bleeding and spotting; for most women, these typically subside after 2 to 3 months.
  • Paragard does not protect against HIV or other sexually transmitted infections (STI).

For full product information, please see the 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.