MedicaidBilling CodesHigh impact
Newsletter Vol. 12, No. 91
New Jersey Medicaid·NJ · OB-GYN, Family Medicine, General Practice·Coding
Effective date
Sep 1, 2002
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid is changing IUD billing procedures effective September 1, 2002. Providers must discontinue using all-inclusive Level III codes (W0001 WM, W0002 WM, W0004 WM, W0008 WM) and instead bill separately for IUD insertion/removal (CPT 58300/58301) and the device itself (J-codes J7300 for Paragard, J7302 for Mirena). Block 24H on claim forms must be completed with family planning indicators.
Action Required
By September 1, 2002: (1) Billing team must update billing system to discontinue codes W0001 WM, W0002 WM, W0004 WM, and W0008 WM and implement new codes 58300 WM (insertion, $29.85 max fee), 58301 WM (removal, $16.40 max fee), J7300 (Paragard device), and J7302 (Mirena device). (2) Update all claim submission templates to require completion of block 24H with family planning indicator '2' (age 21+) or '3' (under 21). (3) Train CNM providers and billing staff on separate billing for procedure vs. device; note that these codes are excluded from multiple surgery pricing and office visit restrictions. (4) Ensure claims reflect AWP or acquisition cost for device codes in block 24F. Failure to implement will result in claim denials for IUD procedures and devices submitted after September 1, 2002.