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Z30.430
ICD-10-CM
Intrauterine Device Insertion

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

IUD Insertion
Intrauterine Contraceptive Device Placement

Diagnosis Snapshot

Key Facts
  • Definition : A small T-shaped device placed inside the uterus to prevent pregnancy.
  • Clinical Signs : Usually asymptomatic. May experience spotting, cramping, or changes in menstrual bleeding.
  • Common Settings : Obstetrics and gynecology clinic, family planning clinic, primary care office.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z30.430 Coding
Z30-Z39

Encounters for contraceptive management

Codes for visits related to contraception, including IUD insertion.

Z30.4

Insertion of intrauterine device

Specific code for the insertion of an intrauterine contraceptive device.

O00-O9A

Pregnancy, childbirth and the puerperium

May be relevant if IUD insertion is postpartum.

Code-Specific Guidance

Decision Tree for

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?

Code Comparison

Related Codes Comparison

When to use each related code

Description
IUD Insertion
IUD Complication
IUD Removal

Documentation Best Practices

Documentation Checklist
  • IUD insertion procedure details
  • IUD type and manufacturer
  • Patient consent documented
  • Date and time of insertion
  • Complications, if any

Mitigation Tips

Best Practices
  • Accurate IUD type/size in ICD-10 coding (Z30.4-)
  • Document IUD insertion site, method, patient consent
  • Timely CDI review of IUD insertion documentation
  • Ensure IUD insertion follows payer policy for compliance
  • Verify provider credentials for IUD procedures

Clinical Decision Support

Checklist
  • Verify IUD type matches patient's needs (size, hormone)
  • Confirm pregnancy test is negative and documented
  • Ensure informed consent obtained and documented
  • Check for contraindications (infection, bleeding)

Reimbursement and Quality Metrics

Impact Summary
  • Intrauterine Device Insertion reimbursement hinges on accurate CPT coding (58300) and ICD-10 diagnosis coding (Z30.430 for insertion, other codes for removal/checks). Proper coding maximizes payment and minimizes denials.
  • Quality metrics impacted: unintended pregnancy rate, patient satisfaction with contraceptive counseling, and complication rates (e.g., perforation, infection). Accurate documentation supports quality reporting.
  • Timely claim submission and appropriate modifier use (e.g., -52 for reduced services) improve reimbursement efficiency and minimize revenue cycle delays.
  • Data integrity for IUD insertions impacts hospital reporting on contraceptive services utilization, influencing resource allocation and public health initiatives.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code Z30.430 for IUD insertion
  • Check documentation for IUD type
  • Ensure medical necessity is clear
  • Diagnose any complications separately
  • Laterality not applicable for IUD

Documentation Templates

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).
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