Summary & Overview
CPT 58301: Removal of Contraceptive Intrauterine Device (IUD)
CPT code 58301 designates the removal of a contraceptive intrauterine device (IUD) from the uterine cavity. This common gynecologic procedure is performed across outpatient clinics, physician offices, and ambulatory surgical centers, and it represents a routine component of contraceptive care. Nationally, the code matters because it captures a high-volume, low-complexity procedural service that intersects preventive care, family planning access, and procedural reimbursement policies.
Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for IUD removal, payer coverage considerations, and typical sites of service. The publication provides benchmarks for utilization and payment patterns, highlights recent policy updates affecting coverage and prior authorization where applicable, and explains billing and coding considerations relevant to clinicians and revenue cycle teams.
The content is intended to help billing managers, clinicians, and policy analysts understand where CPT code 58301 fits within contraceptive service delivery, what payers typically cover, and what operational touchpoints (site of service, documentation expectations) are most relevant. Data not available in the input will be explicitly flagged where applicable in the full publication.
Billing Code Overview
CPT code 58301 describes the removal of a contraceptive intrauterine device (IUD) from the uterine cavity. This procedure is a gynecologic service that involves extraction of an in situ IUD and is typically performed when the device has reached the end of its intended use, when removal is clinically indicated, or when a patient requests device removal.
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Service type: Gynecologic procedural service
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Typical site of service: Outpatient clinic, physician office, or ambulatory surgical center
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Clinical & Coding Specifications
Clinical Context
A 29-year-old female presents to an outpatient gynecology clinic requesting removal of her contraceptive intrauterine device (IUD) after three years of use because she desires pregnancy. She has no acute pelvic pain or fever, and a pregnancy test in clinic is negative. The provider confirms strings are visible on speculum exam and proceeds with a standard IUD removal. Local analgesia or a paracervical block may be used if needed. The procedure is performed in an ambulatory clinic procedure room; the device is grasped with ring forceps and withdrawn from the uterine cavity without complication. Post-procedure counseling is provided regarding return of fertility, signs of infection, and follow-up as needed.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
25 | Significant, separately identifiable evaluation and management service by the same physician on the day of a procedure | Use when a distinct E/M visit is performed the same day as IUD removal for a separate issue (e.g., acute pelvic pain evaluation). |
52 | Reduced services | Use when the IUD removal is partially reduced in scope (e.g., attempted removal but only partial removal performed). |