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New Jersey MedicaidMedicaid · Billing Codes · Coding · NJ · OB-GYN, Family Medicine, General PracticeHigh impact

Newsletter Vol. 12, No. 91

Act
by Sep 1, 2002
Effective date
Sep 1, 2002
Identified
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.

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What to do

by Sep 1, 2002 · 4 steps
01Billing 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).
02Update all claim submission templates to require completion of block 24H with family planning indicator '2' (age 21+) or '3' (under 21).
03Train 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.
04Ensure claims reflect AWP or acquisition cost for device codes in block 24F.
If missed: Failure to implement will result in claim denials for IUD procedures and devices submitted after September 1, 2002.

Codes mentioned

5830058301J7300J7302

Original notice

Newsletter Vol. 12, No. 91
njmmis.com · Always check the source before changing claims.
View original ↗

Related changes

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Related policy hubs

New Jersey Medicaid policiesNJ policy changesOB-GYNFamily MedicineGeneral PracticeCode 58300Code 58301Code J7300Code J7302

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