Author Topic: Billing IUD's for OB/GYN  (Read 1865 times)

Armymom

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Billing IUD's for OB/GYN
« on: May 02, 2011, 02:03:23 PM »
Wondering if anyone can help with this;

We are located in the Atlanta area and my doctors do IUD's as well as insertion of implatable contraceptive capsules.

I am finding that compared to what the doctors are paying for the drugs and what the insurances allowables are, we are barely making money on these, and at times even losing money.

I know that other doctors must be making money on the IUD's or they wouldn't be doing them.

Below are;  1) the codes with description, 2) the cost of the drugs to our practice and,
 3) the billing/coding combinations we are using to bill out services.

CODE                        
11975 - Insertion, implantable contraceptive capsules    
11981 - Insertion, non-biodegradable drug delivery implant         
11983 - Removal with reinsertion, non-biodegradable drug delivery implant   
58300 - Insertion of IUD   
J7300 - Paragard IUD   
J7302 - Mirena IUD   J
7306 - Levonorgestrel   
J7307 - Implanon   
J1055/J1051 - Depo-provera                        
                        
Cost to practice                     
J7300 - $625.00                     
J7302 - $701.00                     
J7307 - $625.00                     
J1051/J1055 - $23.35                        
                        
Billing Combinations                     
58300,J7300                     
58300,J7302                     
11981,J7306                     
11981,J7307                     
11975,J7302                        


Any advice?

midwifebiller

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Re: Billing IUD's for OB/GYN
« Reply #1 on: May 22, 2011, 02:35:54 AM »
I see you also posted this on the AAPC forum and received several responses.
Kelli Sugihara, CPMB
Midwife Billing & Business, LLC
www.midwifebilling.com

Medical Billing Forum

Re: Billing IUD's for OB/GYN
« Reply #1 on: May 22, 2011, 02:35:54 AM »