Forum - Questions & Answers

Jun 19th, 2015 - mpayson

implanon removal with depo injection

there was a patient who came in for a implanon removal (11976) in the morning and came back later in the same day for a depo injection (96372). The depo was denied as being bundled with the removal. Another charge anaylyst thinks the modifier 59 should be added to the 96372. I am unsure if this is correct. Can you tell me your thoughts please?

Jun 19th, 2015 - lmoncree 14 

re: implanon removal with depo injection

Good morning,

You should be using CPT® code 11982-Removal, non-biodegradable drug delivery implant; for the implanon removal. Per "Code 11976 was left in CPT® to report the removal of the capsules for the Norplant system." Append modifier 59 to 96372 and don't forget your J1050-Injection, medroxyprogesterone acetate, 1 mg. I hope this helps!

Happy Coding

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