Forum - Questions & Answers

Mar 2nd, 2010 - kbarney

Modifier 53 Discontinued Procedure

I have a procedure 58300 with 53 modifer and the J7302 was denied for invalid modifier combination. Would the J code also need a modifier

Mar 2nd, 2010 - nmaguire   2,606 

Iud

CPT code 58300 is reported for the insertion of IUD. The cost of the IUD is not included in these codes and should be reported separately using HCPCS code J7302 for the hormonal Mirena IUD. The ICD-9-CM diagnosis codes for IUD placement and removal depend on the circumstance. Most IUD services will be linked to a diagnosis code from the V25 series, “encounter for contraceptive management.” I think they may be questioning the IUD supply (J) if you stated "discontinued procedure" with modifier -53. Did you send documentation to support use of modifier -53?



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