Find comprehensive information on Intrauterine Device Insertion including clinical documentation, medical coding, and healthcare guidelines. Learn about IUD insertion procedure codes, ICD-10 diagnosis codes, CPT codes, and documentation requirements for accurate billing and reimbursement. Explore best practices for IUD placement, patient counseling, and post-insertion care. This resource provides essential information for healthcare providers, coders, and billers involved in IUD insertion.
Also known as
Encounters for contraceptive management
Codes for visits related to contraception, including IUD insertion.
Insertion of intrauterine device
Specific code for the insertion of an intrauterine contraceptive device.
Pregnancy, childbirth and the puerperium
May be relevant if IUD insertion is postpartum.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is IUD insertion for contraception?
Yes
Insertion successful?
No
Is IUD a medicated (e.g., hormonal) IUD?
When to use each related code
Description |
---|
IUD Insertion |
IUD Complication |
IUD Removal |
Patient presents for intrauterine device (IUD) insertion. Relevant medical history includes menarche age, last menstrual period (LMP), gravidity, parity, history of sexually transmitted infections (STIs), pelvic inflammatory disease (PID), ectopic pregnancy, uterine fibroids, or previous IUD use. A bimanual pelvic examination was performed to assess uterine size, position, and adnexal tenderness. Cervical cytology (Pap smear) if indicated and STI screening were discussed and addressed as appropriate. The patient's understanding of IUD benefits, risks, including perforation, expulsion, and ectopic pregnancy, and alternative contraception methods was confirmed. Informed consent was obtained. The chosen IUD type (e.g., levonorgestrel-releasing intrauterine system, copper IUD) was inserted using sterile technique. String length was measured and documented. Post-insertion instructions, including checking string placement and follow-up appointment scheduling, were provided. The patient tolerated the procedure well. Diagnosis: Intrauterine contraceptive device insertion. Procedure: IUD placement. Billing codes: Appropriate CPT and ICD-10 codes will be applied based on device type and complexity of insertion (e.g., 58300, Z30.430).