CPT 58300 IUD Insertion Reimbursement | OpenPayer

Summary & Overview

CPT 58300: Contraceptive Intrauterine Device (IUD) Placement

Headline: CPT code 58300: Contraceptive intrauterine device (IUD) placement — clinical and billing overview

Lead: CPT code 58300 denotes the placement of a contraceptive intrauterine device (IUD) into the uterine cavity, a common outpatient procedure that plays a key role in preventive reproductive health care across the United States.

CPT code 58300 represents the procedural work of inserting a contraceptive IUD. It matters nationally because IUD placement is a widely used, long-acting reversible contraception method with implications for access to care, outpatient surgical capacity, and payer coverage policies. Payers commonly involved in coverage and reimbursement of this service include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

This publication provides a concise briefing on clinical context, expected sites of service, and billing considerations tied to CPT code 58300. Readers will find benchmarks for utilization and reimbursement, notes on common clinical indications and procedural setting, and summaries of payer coverage patterns and policy updates where available. The content is intended for billing professionals, clinical leaders, and policy analysts seeking a national-level understanding of how CPT code 58300 is used and reimbursed.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicare58300CPTIUD insertioncontraceptiongynecologyoutpatient-procedureambulatory-carereproductive-health

Billing Code Overview

CPT code 58300 describes the placement of a contraceptive intrauterine device (IUD) in the uterine cavity. This procedure involves insertion of a contraceptive device by a qualified provider to provide ongoing birth control.

Service type: Contraceptive device insertion
Typical site of service: Outpatient clinic, ambulatory surgical center, or office-based gynecology practice

Clinical & Coding Specifications

Clinical Context

A typical patient is a sexually active woman of reproductive age seeking long-term contraception. She presents to an outpatient gynecology clinic for placement of a contraceptive intrauterine device. Pre-procedure workflow includes informed consent, review of medical and allergy history, pregnancy test Z32.01 or Z32.02 as indicated, screening for sexually transmitted infections when appropriate, and a targeted pelvic exam. On the day of service, a pregnancy test is confirmed negative, vital signs are stable, and the cervix and uterus are assessed. Local anesthesia (cervical block) or a tenaculum may be used. The provider inserts a sterile IUD into the uterine cavity under direct visualization (speculum and uterine sounding) and trims the strings. Post-procedure instructions address expected cramping, spotting, signs of infection, and timing of follow-up (routine check of strings in 4–6 weeks). Typical documentation includes consent, indication, confirmation of pregnancy status, procedural steps, IUD device type, lot number, any immediate complications, and patient tolerance.

Coding Specifications

Modifier	Description	When to Use
`25`	Significant, separately identifiable evaluation and management service on the same day	Use when a distinct E/M visit is performed before IUD insertion and is separately documented.

CPT 58321: Intra-cervical Insemination with Prepared Sperm

CPT-58356-ENDOMETRIAL-CRYOABLATION-UTERINE-BLEEDING

CPT 58356: Endometrial Cryoablation for Abnormal Uterine Bleeding

CPT-58350-CHROMOTUBATION-FALLOPIAN-TUBE-PATENCY-ASSESSMENT

CPT 58350: Chromotubation for Fallopian Tube Patency Assessment

CPT-58322-INTRAUTERINE-INSEMINATION-IUI-INSERTION-OF-PREPARED-SPERM

CPT 58322: Intrauterine Insemination (Insertion of Prepared Sperm)

CPT-58345-TRANSCERVICAL-TUBAL-CATHETERIZATION-INFERTILITY

CPT 58345: Transcervical Tubal Catheterization for Infertility

CPT-58340-UTERINE-FALLOPIAN-TUBE-CONTRAST-OR-SALINE-CATHETERIZATION

CPT 58340: Uterine and Fallopian Tube Catheterization with Saline or Contrast

CPT-58353-THERMAL-ENDOMETRIAL-ABLATION-WITHOUT-HYSTEROSCOPY

CPT 58353: Thermal Endometrial Ablation Without Hysteroscopy

CPT-58323-SPERM-PREPARATION-FOR-INSEMINATION

CPT 58323: Sperm Preparation for Insemination

CPT-58346-HEYMAN-CAPSULE-UTERINE-BRACHYTHERAPY-INSERTION

CPT 58346: Heyman Capsule Insertion for Uterine Brachytherapy

CPT-58301-IUD-REMOVAL

CPT 58301: Removal of Contraceptive Intrauterine Device (IUD)

Taxonomy Code	Specialty	Notes
`207Q00000X`	Obstetrics & Gynecology	Most common specialty performing IUD insertions in outpatient clinics.
`363L00000X`	Family Medicine	Family physicians frequently perform contraceptive IUD placements in primary care settings.
`2083P0208X`	Reproductive Endocrinology/Infertility	Specialists may perform insertions in complex reproductive care contexts.
`103K00000X`	Nurse Practitioner	NPs with women's health training commonly perform IUD insertions in clinics.
`367500000X`	Physician Assistant	PAs with gynecologic practice privileges perform insertions under supervising physician protocols.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`Z30.430`	Encounter for insertion of intrauterine contraceptive device	Direct indication for `58300`; documents reason for IUD placement.
`Z30.49`	Encounter for other contraceptive management	Used when IUD insertion is part of broader contraceptive care.
`Z30.9`	Encounter for contraceptive management, unspecified	Less specific code for contraceptive visit when type not otherwise specified.
`Z32.01`	Encounter for pregnancy test, result negative	Required documentation to confirm patient is not pregnant prior to insertion.
`N92.6`	Irregular menstruation, unspecified	May be a reason for selecting a hormonal IUD for menstrual management.
`N91.2`	Oligomenorrhea	Indication for IUD use in menstrual irregularity management with contraceptive therapy.
`Z98.890`	Personal history of (corrective) reproductive system surgery	Relevant when prior uterine surgery may affect insertion approach or difficulty.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`58301`	Removal of intrauterine device	Performed when an existing IUD is removed prior to or instead of insertion; often billed separately.
`58300`	Insertion of intrauterine device (IUD)	Primary procedure for placement of contraceptive IUD in the uterine cavity.
`57170`	Cervical conization for excision	Occasionally performed in the same visit for cervical pathology; unrelated to routine insertion but may occur in gynecologic workflow.
`36415`	Collection of venous blood by venipuncture	Performed for pre-procedure pregnancy test or laboratory screening.
`99000`	Handling and/or conveyance of specimen for transfer from physician to another lab	Used if specimens collected at time of procedure are sent to external labs; payer acceptance varies.
`99213`	Office or other outpatient visit for the evaluation and management of an established patient	Common E/M code for pre-procedure counseling and evaluation when separately documented.

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