MedicaidBilling CodesHigh impact
Newsletter Vol. 12, No. 90
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/NJ FamilyCare is discontinuing all-inclusive Level III IUD billing codes (W-series) effective September 1, 2002, and replacing them with separate HCPCS codes for insertion/removal procedures (58300, 58301) and J-codes for the device itself (J7300 for Paragard, J7302 for Mirena). Billing teams must update systems to use the new code structure and ensure proper modifiers and family planning indicators are applied on CMS 1500 claim forms.
Action Required
By September 1, 2002: Billing team must immediately discontinue use of the following legacy codes: W0001, W0001 WM, W0001 AV, W0002, W0002 WM, W0002 AV, W0004, W0004 WM, W0004 AV, W0008, W0008 WM, and W0008 AV. Update billing software to use new HCPCS codes 58300 (insertion) and 58301 (removal) with appropriate modifiers (blank for physician, WM for nurse-midwife, AV for nurse practitioner/clinical nurse specialist). For device reimbursement, apply J7300 (Paragard) or J7302 (Mirena) as appropriate. Ensure all IUD insertion/removal claims include: (1) proper procedure code with modifier; (2) corresponding J-code for device; (3) family planning indicator '2' (age 21+) or '3' (under 21) in block 24H of CMS 1500 form; (4) AWP or acquisition cost in block 24F for J-codes. Train billing and clinical staff on new workflow. Claims submitted with legacy W-codes after September 1, 2002 will be denied.