CPT® Code 58300 is used to report the insertion of an intrauterine device (IUD) for contraception. An IUD is a small, T-shaped device placed in the uterus to provide long-term reversible contraception. The procedure is performed by a qualified healthcare professional and may be done in an office, clinic, or outpatient setting.
This code covers the insertion procedure itself and does not include the cost of the IUD device.
Key Facts About CPT® 58300
Service type: Contraceptive device insertion
Provider type: Physicians, advanced practice providers, or other qualified healthcare professionals
Medical services included: Yes—placement of an IUD in the uterine cavity
Procedure setting: Office, clinic, or outpatient facility
Device types: Hormonal (levonorgestrel) or non-hormonal (copper) IUD
Common clinical indications:
- Long-term reversible contraception
- Patient preference for hormone-free birth control (copper IUD)
- Management of heavy menstrual bleeding (hormonal IUD)
- Postpartum or post-abortion contraception
- Alternative to oral, injectable, or barrier contraception
When to Use CPT® 58300
CPT 58300 is appropriate when:
- An IUD is inserted for contraceptive purposes or therapeutic indications
- The procedure is performed by a qualified healthcare provider
- Proper pre-insertion evaluation (e.g., pregnancy exclusion, infection screening) is documented
- The service does not include device removal or replacement
- The insertion is medically necessary for patient care
Examples:
- Insertion of a levonorgestrel IUD in a patient requesting long-term contraception
- Placement of a copper IUD for a patient seeking non-hormonal birth control
- Postpartum IUD insertion at a follow-up visit
- Insertion performed in an outpatient clinic after appropriate counseling and evaluation
Documentation Requirements
To support CPT 58300 billing, documentation should include:
- Patient identifiers and date of service
- Indication for IUD insertion (contraception or therapeutic use)
- Type of IUD inserted (hormonal or non-hormonal)
- Procedure details, including cervical preparation, uterine sounding, and placement confirmation
- Patient consent and counseling regarding risks, benefits, and follow-up
- Provider credentials and signature
Comprehensive documentation ensures compliance, supports reimbursement, and facilitates follow-up care.
Reimbursement and Coding Considerations
- CPT 58300 covers the insertion procedure only; the IUD device is billed separately
- Documentation must demonstrate medical necessity and procedure completion
- If an IUD is replaced or removed, use appropriate CPT codes (e.g., 58301, 58301 for removal, 58301/58300 for combined insertion and removal in some payers)
- Follow payer-specific guidelines for bundled services, global periods, and device reimbursement
Proper coding and documentation maximize reimbursement and ensure compliance with payer requirements.
How OptiMantra Supports IUD Insertion Services
OptiMantra’s integrated EMR and practice management system streamlines documentation and billing for CPT 58300:
With OptiMantra, providers can:
- Record IUD type, insertion procedure details, and patient response in structured templates
- Document counseling, follow-up instructions, and procedural notes
- Track device inventory and link placement to patient records
- Support accurate medical code selection for compliant billing workflows
- Maintain longitudinal records for follow-up or IUD removal procedures
By centralizing IUD documentation and billing, OptiMantra helps practices improve efficiency, ensure compliance, and optimize reimbursement.
Try OptiMantra for free here!
Disclaimer: CPT® codes are maintained by the American Medical Association. This guide is for informational purposes only and does not replace official coding guidelines or payer policies.
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