CommercialAdministrativeLow impact
07.10.05n, Noncontraceptive Use of the Levonorgestrel-Releasing Intrauterine System
Independence Blue Cross·OB-GYN, Family Medicine, Internal Medicine·Medical Policy
Effective date
Mar 5, 2025
We identified it
Jun 19, 2026
Summary
This is a reissue of the existing policy for noncontraceptive use of levonorgestrel-releasing intrauterine systems (IUDs) for commercial plans. The policy content remains unchanged but has been reposted with an effective date of March 5, 2025.
Action Required
By March 5, 2025: Review current billing practices for levonorgestrel IUD insertions for noncontraceptive indications to ensure compliance with reissued policy. No immediate changes required as this is a reissue of existing policy without content modifications.