MedicaidBilling CodesHigh impact
Newsletter Vol. 12, No. 88
New Jersey Medicaid·NJ · OB-GYN, Family Medicine, General Practice·Coding
Effective date
Sep 1, 2002
We identified it
Jun 20, 2026
Summary
Effective September 1, 2002, New Jersey Medicaid/NJFamilyCare discontinued all-inclusive IUD billing codes (W0001 AV, W0002 AV, W0004 AV, W0008 AV) and now requires separate billing for IUD insertion/removal procedures (CPT 58300, 58301) and devices (J-codes J7300 for Paragard, J7302 for Mirena). CNPs/CNSs must update billing procedures to use the new HCPCS codes and populate the family planning indicator field on CMS 1500 claim forms.
Action Required
By September 1, 2002: Billing team must immediately discontinue use of deprecated codes W0001 AV, W0002 AV, W0004 AV, and W0008 AV for all IUD claims. Update billing software and encounter forms to use CPT 58300 (insertion with post-insertion visit, max $29.85) and CPT 58301 (removal, max $16.40) with modifier AV. For IUD devices, bill J7300 (Paragard) or J7302 (Mirena) separately at AWP or acquisition cost, whichever is lower. On all CMS 1500 claim forms, complete block 24H (family planning indicator) with "2" for beneficiaries 21+ years or "3" for under 21. Ensure modifier AV is appended to procedure codes. Train all CNPs/CNSs and billing staff on new procedures. Claims submitted with old codes after September 1, 2002 will be denied or require resubmission.